Vaginal and Uterus Health Forum - Vaginismus and conception

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Q: Vaginismus and conception

asked by: DoctorQuestion on March 28th, 2009

I am suffering from Vaginismus and its an ordeal for intercourse. I am married and and trying to conceive, and here are the steps I take for deep penetration
1) I am using an Ovulation Prediction Kit from clearblue and time sex before & during ovulation
2) The only way I can bear the pain to intercourse is if I use petroleum jelly which numbs the outer walls of my vagina, thus greatly helping penetration. No other lubrication helps
3) My husband tries to penetrate very gently, as I guide him. Once inside, I have no pain & he ejaculates inside me.
4) I do not feel anything during intercourse
5) I have used dilators, but again they are fine only with lubrication and used gently.

However, I have heard that Petroleum gel kills sperms. Water based lubricants might be better, but they do not help with my pain.

Given my condition, can you please advice if I am doing the correct steps to increase my chance of conceiving?

Replies(1)

Dr. Goce Aleksovski , MD

replied on March 29th, 2009

Vaginal and Uterus Health Answer A6173

Vaginismus is a condition in which vaginal penetration is painful due to involuntary contraction of the pubococcygeus muscle.
There are several causes for vaginismus, some of which include: fear of pain associated with penetration, yeast infection or trauma during childbirth.
The treatment might include either psychological or physiological methods depending on the cause.
Since you have already tried dilators, you might want to talk to a psychologist or to a gynecologist to check for any changes of the vaginal walls.
Although there are many claims online that petroleum gel kills sperm, there is an independent medical study whose results show that vaseline petroleum jelly and glycerine have minimal detrimental effect on spermatozoid motility.

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