Diagnosis of Vaginismus

• Absence of vaginal intercourse or partial intercourse (part of the penis entering the vagina)
• Presence of vaginal pain or soreness during attempts at vaginal intercourse
• Presence of significant fear or anxiety related to vaginal intercourse
• Presence of marked tension or contractions in the pelvic floor muscles during attempts at vaginal intercourse
• Inability to undergo a vaginal ultrasound, fear of or refusal to have a gynecological examination
• Inability to insert a tampon, suppository, or finger into the vagina

If one or more of these conditions are present, we recommend that you consider the possibility of vaginismus and undergo a gynecological examination. In addition, whether the cause of painful sexual intercourse is vaginismus or other causes that may lead to pain (dyspareunia) should be determined through a proper medical history and a gynecological examination to be performed before treatment, and treatment should be applied accordingly.