A sexual history is important and will include early childhood experiences, family attitudes toward sex, previous and current sexual responses, contraceptive practices, reproductive goals, feelings about your sexual partner, and specifics about the pain you experience. Treatment will first take care of any medical problems, followed by therapy to eliminate the muscular spasms and psychological problems. For muscular spasms, one type of therapy involves dilating the vaginal opening gently and gradually with rubber or glass dilators. Office treatments will probably be necessary 3 times a week, and you should practice at home at least twice a day. Prior to dilation or attempted intercourse, sit in a tub of warm water for 10 to 15 minutes.
Baths often relax muscles and relieve discomfort.
Repeat baths as often as is helpful. Psychotherapy or counseling is recommended, in addition to, or if dilating treatment is unsuccessful. This may include sensate focus and improving communication with your partner, plus therapy to resolve any conflicts in your life. Before attempting intercourse, you and your partner should use a lubricant, such as K-Y Lubricating Jelly or baby oil. Medication Medicine is usually not necessary for vaginismus, but mild sedatives or tranquilizers may be prescribed for short periods of time.