Patient Education · Balaji Horizon
What is Vaginismus?
Reviewed by Dr. Priyadatt PatelSenior Gynecologist · Advanced Laparoscopic Surgeon · IVF & Endometriosis Programme Lead
DPP
Reviewed by Dr. Priyadatt PatelSenior Gynecologist · Advanced Laparoscopic Surgeon · Last reviewed 26 Sep 2026
Frequently Asked Questions
Is vaginismus all in my head?
No. Vaginismus is a real, involuntary muscle contraction. Psychological factors often contribute but the condition is physical and treatable.
Can vaginismus be cured?
Yes. With structured pelvic floor physiotherapy, dilator therapy, psychological support and treatment of any contributing condition, most women achieve comfortable intercourse within 3–12 months.
Will I need surgery?
No. Vaginismus is not a surgical condition. The very rare cases where surgery is considered are typically those with anatomic anomalies (hymenal remnant, vaginal septum) — not vaginismus itself.
Can I get pregnant with vaginismus?
Yes. Some women conceive through partial penetration or assisted insemination during treatment. After treatment, normal conception is the rule.
Does my partner need to come to appointments?
Partner involvement and understanding significantly improves outcomes. Couples therapy or joint counselling can be very helpful, particularly for secondary vaginismus.
Is vaginismus more common after sexual trauma?
Trauma is one of several contributing factors. Many women with vaginismus have no history of trauma. Equally, many trauma survivors do not develop vaginismus.
How long does treatment take?
Most women see substantial improvement within 3–6 months of dedicated treatment. Complete resolution typically takes 6–12 months. Pace varies between individuals.
Where do I find a pelvic floor physiotherapist?
In a specialist gynaecology or pelvic health centre. Ask your gynaecologist for referral. Treatment should be delivered by a physiotherapist with specific pelvic floor expertise.
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