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Advice for women with vaginismus — Ask Dr Jean

Medical & health articles 1 Nov 2018

When it comes to women's health, there is no such thing as a silly question. Do you have a question you want answered, but have been too afraid or embarrassed to bring it up with your GP? Or you forgot to ask while you were in the doctor's surgery? Now, you can 'Ask Dr Jean'.

Answering your questions for this edition of 'Ask Dr Jean' is gynaecologist and Jean Hailes Medical Director, Dr Elizabeth Farrell AM


A friend realised she had a problem in her teens when she simply could not insert tampons because of the terrible pain experienced. She had no idea what was wrong with her until she came across an article in a magazine about vaginismus. She finally had a name for her problem.

Most GPs have heard of the condition, but have not been able to give her really helpful advice. A gynaecologist treated her with contempt when approached about her suffering and caused considerable pain during the examination. This put her off seeking further advice for a long time. She has since married an understanding man and had two children, but the problem persists. With an exercise regime she can sometimes feel improvement, but it doesn't last. She is now in her late 30s. Any help would be appreciated.


Vaginismus is when the pelvic floor muscles are tightened – that is, overactive – so that inserting tampons or having sex with penetration is very painful or impossible. The tightening is involuntary and often women are unaware their pelvic floor muscles are tight and tender.

Women need to have a team of health professionals helping them to overcome the tightening:

  • A sympathetic GP
  • A pelvic floor physiotherapist to help teach pelvic floor relaxation using trigger point therapy and also vaginal trainers
  • A sexual therapist and a psychologist to help your friend to learn to understand why there is an unconscious fear on having penetration.

It may take some time to overcome and treat, so making small advances are very positive in your friend's management.

All rea­son­able steps have been tak­en to ensure the infor­ma­tion cre­at­ed by Jean Hailes Foun­da­tion, and pub­lished on this web­site is accu­rate as at the time of its creation. 

Last updated: 
18 January 2024
Last reviewed: 
01 March 2024