VAGINISMUS:
Vaginismus is an involuntary contraction of pelvic muscles, mostly the pubococcygeus muscle ( muscle which is responsible for urination, intercourse, orgasm, bowel movement, and childbirth).
It may happen during any insertion of any objects like tampons, penis or speculum into the vagina.
Causes:
Vaginismus may be due to physical or emotional factors,
Physical factors like urinary tract infection, yeast infection, childbirth, menopause, surgical operations, insufficient vaginal lubrication, any cancer condition, or due to any side effects of any medication.
Emotional factors like anxiety, any emotional condition due to any rape, or any history of abuse.
Types:
Primary vaginismus: This is a lifetime condition, which is very difficulty to insert any objects. Usually experience at first time of intercourse. While inserting penis into vagina he feels like hitting into wall.
Secondary vaginismus: It experience due to secondary causes like Infections, menopause, traumatic Condition, childbirth.
Global vaginismus: It is always present when any object is inserted.
Situational vaginismus: It occurs in certain situations like sex not in all time like inserting any objects like tampons or speculum.
Symptoms:
Painful intercourse.
Penetration is difficult.
Muscle spasms lead to breathing difficulty.
Homeopathic management:
Cocculus indicus:
Suits for sensitive and newly married girls. Spasmodic pain due to contractions of pelvic muscles which is associated with pain in gluteal muscles. Patients becomes opisthotonic during coition. Parts are dry so they leads to injury or inflammation due to coition. Intense bruised feeling in back. Dysmenorrhoea is spasmodic with violent cramping type of pains. Leucorrhoea appears after menses.
Modalities:
Aggravation at the time of anxiety, after exertion, motion, grief.
Amelioration by rest.
Arnica:
Vaginismus due to forceful coition, leads to bleeding from uterus and vaginal wall. vagina becomes sore, lame, bruised, so the parts are very sensitive to touch.
Modalities:
Aggravation by touch, rest, cold, damp.
Amelioration when alone.
Ignatia:
Vaginismus due nervous during coition, so it leads to lack of vaginal secretion it causes dryness of vagina. Ignatia acts best during emotional vaginismus and perineal vaginismus. Patient will have complete aversion on sex, they shows sexual frigidity. Frigidity may be due to past or suppressed grief. Patient have changeable mood, sits silently and brooding.
Modalities:
Aggravation at morning, warm application externally.
Amelioration by changing position.
Caulophyllum:
Patient have lack of tonicity in pelvic organs due to multiple deliveries- extra ordinary rigid os is seen, lead to spasmodic pain in uterine region and pricking pain in cervix during coition. Patient have history of habitual abortion due to uterine debility. Patients have fear of coitus due to pains in act so she tried to avoid it.
Modalities:
Aggravation by cold and open air.
Amelioration by emission of flatus.
Thuja:
Vaginismus due to Infections in uro- genital. Intense sensitiveness of vagina causes vaginismus and painful coition. Cutting pain in vagina, warty growths on vaginal walls these causes disturbance some times bleeds on touch.
Modalities:
Aggravation at night, cold air, touch, heat of bed.
Amelioration by open air.
Murex:
These ladies are very conscious on genital parts. Pulsations in cervical os. Exhausted and excited very easily, sensation of hard pressing upon parts. Sore parts in pelvic organs makes the patient to sit. Uterus is bulky and indurated, severe tenesmus in the pelvic region which ascends to left breast. Patient have sensation of all gone in stomach.
Modalities:
Aggravation by least touch, noise.
Amelioration by open air, rest.
Platina:
Hypersensitiveness of parts, with tingling numbness and coldness of genital parts. Hyperaesthesia of genitals. Parts will be contracted due to touch, during coition makes her to faints. Abnormal sexual appetite is seen. Menorrhagia or metrorrhagia is associated with vaginismus.
Modalities:
Aggravation by sitting or standing, in evening.
Amelioration by walking, open air.
