Treatment of vaginismus
Vaginismus – the condition, which is characterized by spastic muscle tension of the pelvic floor. It makes sexual intercourse impossible what significantly affects the private life.
What causes vaginismus: psycho-emotional factor, neuromuscular dysfunctions and inflammatory-dystrophic changes of the vulva.
Another factors, which may cause spastic muscle tension of the pelvic floor during a sexual intercourse are negative experience and cultural and moral education (religious views). Vaginismus is typical of the countries with a predominantly Muslim population.
Inflammatory and dystrophic diseases of the vulva may lead to the the formation of secondary hypertonicity of the pelvic floor muscles (false vaginismus) due to pathological paresthesia. The causes of pathological paresthesia are long lasting inflammatory diseases of the vestibular system, dyspareunia and vulvodynia.
The diagnostics of vaginismus includes: clinical laboratory tests, esthesiometry, electromyography and psychological consultation. On detecting the reason the specialist chooses the treatment.
The most effective way of treatment is botulinum therapy based on anesthetic and antispasmodic effect of botulinum toxin type A. This drug helps eliminate symptoms of the disease for a long time, which contributes to the complete recovery of the patient.
It should be taken into account that the disease has 4 severity levels. Depending on the level of severity, the amount of the needed botulinum toxin type A varies.
In addition to the treatment with botulinum toxin type A, the doctors of the Clinic of Professor Yutskovskaya use another method, which includes injections of the drugs based on non-stabilized hyaluronic acid in order to stabilize the nerve filament and restore the medullary sheath.
How it works: the author’s method of vaginismus treatment is based on synergetic interaction of drugs with low-molecular hyaluronic acid that are used for improving the trophic tissue, and botulinum toxin type A that blocks pain sensitivity and resolves the spasm of the pelvic floor muscles
The result: the result will manifest itself within the first week after the treatment. However, the stabilization of the result will begin during a month after the procedure.
The method: injections of botulinum toxin type A are made specially designed injector, which helps to inject the whole amount of the drug to the targeted point. There are more than 5 types of botulinum toxin type A, but only one of them is registered for gynecologic patients.
Among the different types of hyaluronic acid we choose those that include polysaccharides, which cause the process of remodeling of the nerve filament and the medullary sheath.
Anesthesia: the procedure is performed on the ambulatory basis and the doctor applies local anesthesia with modern long-acting anesthetics. Sedation or internal anesthesia are applied If the level of the patient’s excitability is high.
The duration of the procedure: 30-40 minutes
Rehabilitation: discomfort and swelling remain in the area of vulva for 2 weeks. For a month the patient should refrain from sport activities, going to sauna and swimming.
The duration of the effect: in each case the treatment plan is developed individually in order to avoid relapse.
Warning: the procedure should be performed by a specialist
Pain: almost no pain