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What to Do If a Girl Is Extremely Tight: A Safe, Respectful, and Medically-Informed Guide
Understand the real reasons behind vaginal tightness and what to do to improve comfort safely. This article explains the role of pelvic floor muscles, relaxation techniques, and gradual approaches that support pain-free progress.
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How to Stretch a Small or Tight Vagina: A Safe, Medically-Grounded Approach to Comfort and Pelvic Floor Health
Discover what actually causes vaginal tightness and how to gently improve comfort over time. This guide covers pelvic floor dysfunction, nervous system responses, and safe at-home solutions that support long-term progress.
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How Do I Stretch My Vagina More? A Medically-Grounded Guide to Comfort, Flexibility, and Pelvic Floor Health
Learn how to safely improve vaginal comfort and flexibility using medically supported techniques like pelvic floor therapy and gradual dilator use. This guide explains the real causes of tightness and how to address them effectively.
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What are posterior fourchette fissures and how can you treat them?
Chronic tearing at the posterior fourchette is more than just a skin issue—it's often an elasticity issue. Discover how to break the cycle of painful fissuring and restore your pelvic health safely at home.
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How to Overcome Fear of Sex Pain: A Guide to Healing, Confidence & Connection
For many women, the idea of sexual intimacy brings not just anticipation or excitement — but fear, anxiety, and physical pain. If you're experiencing fear of sex or struggling with anxiety about intercourse, you're not alone. Millions of women across the world suffer in silence, afraid of intimacy due to discomfort, trauma, or uncertainty about what’s causing the pain.
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Can I Treat My Vaginismus Problem With VuVa Vaginal Dilators with a home therapy plan?
Beginning stages of treatment of vaginismus must be supervised in a multidisciplinary way by specialists and/or pelvic floor therapist usually. Involuntary contractions are the main problem with vaginismus. A pelvic floor physical therapist plays a very important role in the treatment of Vaginismus. A treatment plan may involve a set of objectives to be achieved through manual techniques in order to improve the pelvic floor. These may include physiotherapy equipment, such as VuVa vaginal dilators. With their correct use it can help decrease Vaginismus symptoms. What Is Pelvic Floor Physical Therapy? Reviewed by the medical professionals of the ISSM’s Communication Committee Pelvic floor physical therapy is a treatment applied to pelvic floor muscles. Pelvic floor muscles support the pelvic organs, assist in bowel and bladder control, and contribute to sexual arousal and orgasm. A person may be referred to pelvic floor physical therapy to treat incontinence, difficulty with urination or bowel movements, constipation, chronic pelvic pain, and painful intercourse. Women may see a pelvic floor physical therapist for treatment for a variety of conditions, including vaginismus or endometriosis. Male disorders, such as painful ejaculation and premature ejaculation, can also be treated this way. Pelvic floor physical therapists might use several techniques: Education. Patients may need to learn more about their pelvic anatomy and how different components work alone and together. They may also need to learn how habits or hygiene affect their symptoms. Pelvic floor exercises. Patients are taught how to contract and relax pelvic floor muscles in relation to other muscles. They are also taught breathing and timing techniques to make the exercises more effective. Such exercises can stretch tight muscles, strengthen weak ones, and improve flexibility. Manual therapy. A physical therapist may use hands-on massage or stretching to help with posture, blood circulation, and mobility. Pelvic floor biofeedback. Biofeedback is a technique that can help patients “see” how the pelvic floor muscles are working. To do this, a probe is inserted into a woman’s vagina or a man’s anus and results are displayed on a computer screen. Electrical stimulation. A low voltage electrical current may be used to teach patients how to coordinate their muscle contractions. Vaginal dilators. These tube-shaped devices can help women learn to relax their pelvic muscles to allow easier penetration. Women who have been treated for gynecological cancer may also find them helpful for vaginal rehabilitation after treatment. Pelvic floor physical therapy may be part of a comprehensive treatment plan involving primary care physicians, gynecologists/urologists, sex therapists, and mental health professionals. Use Of Physical Therapy For The Treatment Of Vaginismus In the event that the origin of vaginismus is triggered by a poorly healed scar tissue, physical therapy can try to improve that area and make it more pliable. In addition, any case of vaginismus can benefit from physical therapy techniques, since they can relax and re-educate the muscles. For this reason, it is increasingly common for vaginismus treatment to be multidisciplinary: the psychological part is treated with the therapist, supported by treatment with a physiotherapist specialized in sexology. Within the treatments of vaginismus, at a physical level, biofeedback treatments and VuVa vaginal dilators can be used. When we have a vaginismus problem we have a global floor contracture, there is an elevation of tone (hypertonia). The chronicity of a pathology is something serious to take into account, when more than 3 months of pain go by it becomes chronic pain. Not only does the structure hurt physically, but also at a cerebral level. The pain needs to be treated at a physical and mental level at this point. Why Vaginal Dilators Are So Important During The Treatment? Treatment with vaginal dilators allows progressively adapting sensitivity to penetration. With the vaginal dilators it is possible to learn to control muscle contraction/relaxation. With VuVa dilators our main function is to inhibit the involuntary contraction reflex to learn to control the muscles, gradually introducing smaller and larger sizes. They also help us as a proprioceptive technique and to stretch the pelvic floor muscles once we have achieved relaxation. Are Vaginal Dilators Used Only For Vaginismus? Vaginal dilators can contribute to treatment in other conditions such as the following: Dyspareunia Vulvodynia Vaginal Atrophy Pelvic Radiation Therapy Menopause Vulvar Vestibulitis Vaginal Stenosis Vaginal Agenesis Pudendal Neuralgia It is always important to consult your gynecologist or physical therapist to give a correct use of the vaginal dilator depending on the condition you have. Please for more information about condition treatments go to https://www.vuvatech.com/pages/conditions How Long Does Vaginismus Physical Therapy Take? The effectiveness of the results would depend on the way the physiotherapist teaches the patient and the perseverance and discipline of the patient to perform the exercises, therapeutic equipment, massage and the proper use of the vaginal dilators. However, each patient is truly different, but a typical treatment lasts between 4 and 12 months. How Many Times A Week Can I Go To Treatment? The usual is to attend the treatment 1-2 times a week to obtain results. The pelvic floor therapists always respect the privacy of the patient . The physical therapist will give their patients individual home therapy exercises that a very important to success in treatments. What Exercises To Complement My Treatment With VuVa Vaginal Dilators Can I Do With My Physiotherapist? The physiotherapeutic approach consists of the following therapeutic techniques and tools, the choice of which will vary depending on the individual characteristics of each woman: Pelvic Floor Muscle Relaxation Education Helps create a body awareness of the pelvic area, thus avoiding myths or fears that cause muscle spasms that close the vaginal canal. The physiotherapist needs to educate in a understanding way the steps that the patient needs to follow to execute at the right way the treatment and improve the musculature in the pelvic floor: 1. Diaphragmatic Breathing: This is a type of deep breathing that engages the diaphragm muscle and pelvic floor muscles to work together and relax in a coordinated way. Here we have some steps to follow: Start by placing one hand on your chest and the other on your stomach. Take a breath for 3 seconds and expel it for a long time for 4 seconds, you should feel that your stomach grows when you breathe in and falls when you breathe out. You should repeat it about 5 to 10 minutes a day. Your pelvic floor muscles relax as you breathe in and out. 2. Stretching: This is also a good way to open up your pelvic floor muscles, the most common forms of stretching include: Happy Baby Position: Lie on your back, open your knees and hold them towards your head with your hands, hold this position for around 5-10 seconds and gently guide from side to side. Child Position: You should be on your hands and knees and spread your knees as wide as possible. Always keep your toes flat on the floor, bend down bringing your chest towards your legs and extend your arms out to the sides. Butterfly position or adductor stretch: Relax on your back and bring your feet together, letting your knees relax out to the sides. You can put pillows to support your knees at your sides. Needle position: While lying on your back and with your knees bent, position your left ankle over your right knee, bring your right leg toward your chest. You should feel a stretch on the outside of your left hip. You should repeat it with the contralateral side. Pelvic floor training With the specific training of the muscles that make up the pelvic floor, women learn to know their vaginal muscles and practice tensing and relaxing them consciously, to train the pelvic floor muscles we use Kegel exercises. Kegel Exercises Inhale deeply through your nose, allowing your abdomen to rise as you fill with air. Keep your pelvic floor muscles relaxed as you inhale. 2. Breathe out slowly through your mouth while gently contracting your pelvic floor muscles. 3. Contract your pelvic floor muscles for 3 to 6 seconds (until the muscles are tired) as you exhale. 4. Inhale again and release the contraction to relax the muscles. 5. Relax your muscles completely for 6 to 10 seconds. 6. Repeat this exercise 10 times per session. If you feel pain when you do Kegel exercises, stop doing them right away. Kegel exercises are not harmful but they are not suitable for everyone, when done correctly most people find them relaxing. If you feel pain during or after the exercises, you may not be doing them correctly or they may not be right for you. Dilation Exercises Using Vaginal Dilators Of Different Sizes 1. Start with the smallest size. 2. Prop yourself semi-reclined on a bed/chair/sofa. Bending your hips and knees a little may help. 3. To prepare, you could try actively relaxing your pelvic floor muscles using your breathing. 4. A helpful step can be to practice resting the tip of the smallest dilator at your vaginal entrance and using your breathing to keep your pelvic floor relaxed. 5. When you think your pelvic floor is relaxed, take your time to gently slip the smallest dilator (covered in lubricant) into your vagina. 6. Leave the dilator in place for 1 to 10 minutes, keeping our pelvic floor relaxed. You will be able to increase the length of time gradually with practice. 7. Bring your attention to your physical sensations as you use the dilators, or to the sensations of our breath in your body. 8. When read, try the next size up from the one you are using. You may find it helpful to try 1 minute of the size that you are comfortable with before using the larger size immediately after. 9. Gradually increase the size of the vaginal dilator you are using, remembering you should be comfortable with a given size for up to 10 minutes, feeling the muscles are fully relaxed around it , before you move on to the next size. If these exercises cause bleeding, or if you have difficult thoughts or feelings about using the dilators, which you feel are getting in the way, please discuss this with our doctor, physiotherapist , nurse or psycosexual counselor. Superficial Thermotherapy And Ultrasound Using superficial thermotherapy helps to intensify the temperature around the perineal muscles with a slightly higher body temperature, in order to achieve a vasodilating, therapeutic and relaxing effect. With ultrasound we obtain a similar effect but the difference is that it acts deeply in the form of vibrations, when these vibrations penetrate the perineal tissue, producing heat in the area and relieving pain at the nervous level. Global Postural Reeducation (RPG) The health professional tries to correct the initial situation of conflict that will leave the discomfort. RPG aims to resolve the root cause, including discovering new postural habits that favor the patient's well-being. Therapeutic Perineal Massage This technique helps us alleviate a little the pain and tension that can be generated in the perineal muscles, the therapist gives instructions to the patient and her partner in the event that her partner performs the massage. With a little lubricant, the index and middle fingers are inserted into the vagina, gently on the vaginal walls in a U-shape throughout the vaginal cavity. 2. Work muscles at a superficial level. 3. Do not massage for more than 10 minutes. In conclusion, with experience and knowledge in this field in the treatment of vaginismus, specialists in conjunction with helping you overcome this type of injury that has a cure, allowing you to have sexual relations daily without pain. A physical therapy specialist may be able to help you manage and improve your vaginismus symptoms with personalized treatment techniques and lasting results in order to overcome your condition. Gain full control of your perineal muscles to greatly reduce vaginal pain. References Pelvic Floor Therapy: I Thought My Body Was Broken Until I Tried. (2018, June 4). Healthline. https://www.healthline.com/health/womens-health/pelvic-floor-physical-therapy-what-to-expect#Two-months-later Vaginal Dilator Exercises for Psychosexual Therapy Information for patients. (n.d.). https://www.ouh.nhs.uk/patient-guide/leaflets/files/30804Pexercises.pdf Urology Care Foundation https://www.urologyhealth.org/ Do you need to order vaginal dilators so you can start your pelvic floor therapy process? Made in the USA. Visit www.vuvatech.com VuVa Helpful Links: How do Neodymium Vaginal Dilators work? 7 Reasons for a Tight Vagina and How to Loosen How to use Vaginal Dilators How to Relax Vaginal Muscles, Vaginismus & Sex Vaginal Stretching - Keeping in Shape with Dilators Do Dilators Really Work? Yes, and They can Improve Your Sex Life! Shop for VuVa Vaginal Dilators Tara Langdale Schmidt is the inventor of the VuVa Dilator Company. She has pelvic floor dysfunction herself and wanted to create a dilator set that is made in America that women can trust. VuVatech has been in business since 2014 and has helped over 50,000 women all over the globe. She patented the Neodymium Vaginal Dilator, that is clinically proven to help with blood flow and nerve pain. Podcast Episode 22: Tara Langdale-Schmidt What’s on Your Vagenda? Click here
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What is Estradiol Vaginal Cream and can I use it with Dilators?
Estradiol is a form of estrogen (the female sex hormone responsible for regulation of various bodily processes). Estradiol comes in the form of oral tablets or topical applications such as gels, patches and vaginal creams. In some instances Doctors may offer Estradiol injections. Estradiol vaginal cream is a low-dose hormone replacement cream typically prescribed to women suffering from vaginal atrophy symptoms, or menopausal symptoms like hot flashes and vaginal changes. If you are using vaginal dilators (or planning to start) and have also been prescribed Estradiol cream, you may be wondering if using vaginal estrogen cream with dilators is OK. The answer is yes: it’s perfectly OK to use estradiol cream with your vaginal dilators. We’ll get into more detail on estrogen creams and dilators below… Why and how is Estradiol vaginal cream used? Generally a low-dose estrogen cream may be prescribed for women suffering from menopausal or vaginal atrophy symptoms, including: Vaginal dryness, itching, burning, inflammation thinning skin Dyspareunia (painful sexual intercourse) Urinary dysfunction (urgency, frequency, incontinence, urinary tract infections) Vaginal estrogen cream is generally inserted via a plastic applicator that can be cleaned and reused. Your Doctor may direct you to insert it near to the vaginal opening or deeper inside the birth canal. The estradiol cream will then gradually absorb into the vaginal tissues. It can then do its job of increasing lubrication, reducing itching and burning sensations, and lowering the vaginal pH level to reduce inflammation. Over time, hormone levels may normalize and you may be able to reduce usage or completely stop using Estradiol vaginal cream. In fact, Doctors do not usually recommended it for long-term use due to potential side effects, such as: Tenderness or pain in the breasts Dizziness Nausea or vomiting Depression and anxiety Heartburn Leg cramps Vaginal discharge Loss of hair Extra hair growth Back pain It is wise to check in with your Doctor regularly, especially if you are experiencing any of the above changes. You may need to alter the dosage, reduce usage or stop using the cream. Using vaginal dilators with estrogen cream Vaginal dilators are used to restore normal function to the vagina, which is why they are a successful solution for all kinds of pelvic disorders. Vaginal dilator therapy often leads to sufficient vaginal capacity for sexual intercourse, and reduction of painful physical and psychological symptoms. Dilator therapy is often incorporated into pelvic floor physical therapy, sexual and psychotherapy because of its high success rates. Women with vaginal atrophy are commonly prescribed a vaginal estrogen cream so it is perfectly normal to use dilators in conjunction with this cream. If using dilators with estrogen cream it is better to do so when the cream is not yet fully absorbed. However, dilators often work best when used with vaginal moisturizers or lubricants, and it is generally recommended that you use moisturizers on a different day to the day you apply estrogen cream. Therefore you may wish to dilate with lubricant on the days you are not using the cream. The bottom line is that vaginal atrophy or difficult menopause symptoms can easily be remedied with a combination of treatments, the most popular being Estradiol vaginal cream and vaginal dilators. For some women the process takes a few weeks, and for others a few months but with perseverance, these problems usually become manageable - or non-existent! We hope you found this article useful… if so, please check out our blog for regular articles on a wide range of women’s sexual health issues, as well as advice and solutions. Do you need to order vaginal dilators so you can start your pelvic floor therapy process? Made in the USA. Visit www.vuvatech.com VuVa Helpful Links: How do Neodymium Vaginal Dilators work? 7 Reasons for a Tight Vagina and How to Loosen How to use Vaginal Dilators How to Relax Vaginal Muscles, Vaginismus & Sex Vaginal Stretching - Keeping in Shape with Dilators Do Dilators Really Work? Yes, and They can Improve Your Sex Life! Shop for VuVa Vaginal Dilators Tara Langdale Schmidt is the inventor of the VuVa Dilator Company. She has pelvic floor dysfunction herself and wanted to create a dilator set that is made in America that women can trust. VuVatech has been in business since 2014 and has helped over 40,000 women all over the globe. She patented the Neodymium Vaginal Dilator, that is clinically proven to help with blood flow and nerve pain.
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Atrophic Vaginitis Treatment with Magnetic Vaginal Dilators
If you are looking for atrophic vaginitis treatment, know that you are one of many women seeking solutions for this difficult condition. At VuvaTech we speak to women suffering from the symptoms of atrophic vaginitis (also known as vaginal atrophy) every day… and we are pleased to be able to say we have helped a great number of them to understand and treat the problem! Treatment for vaginal atrophy does not have to be as complicated as you might imagine. It is very common in post-menopausal women, so you can guess that anyone over the age of 50 is at risk of developing it. Similarly, women who have had radiation treatment for cancers of the pelvic region – or breast cancers – are at high risk. To put it into perspective, there are approximately 32 million women in the United States alone with vaginal atrophy. It’s also true that women who don’t have sex very often can develop atrophic vaginitis. It makes sense that as we age and our libidos drop with our hormone levels, we are less likely to want regular sex. Whatever the reason you are seeking atrophic vaginitis treatment, the solution is both simple and easily accessible: magnetic vaginal dilators are highly effective and have improved so many women’s lives. This article will answer some of the most important questions about this condition, and how dilators work with vaginal atrophy. Do I need atrophic vaginitis treatment? You may not yet be certain whether you have atrophic vaginitis or not, so this section will cover what it is. Atrophy happens when your vaginal tissues are no longer functioning in the usual way, for any of the reasons we mentioned above. Your estrogen levels may have dropped, meaning less blood flow is reaching the tissues, and this (or lack of activity) could also have caused thinning and shrinkage of the lining, and shortening or narrowing of the birth canal. Many women notice that they have these issues when they attempt to have sex after a while, because the resulting pain doesn’t feel normal. Furthermore, lubricant may not help the situation, thus indicating atrophy. Your tissues may be somewhat inflamed, and sex (or other forms of penetration) can actually cause tearing and bleeding. Unfortunately this can create negative anticipation around sex. If you then stop having sex, it may actually make the problem worse, so it’s a bit of a catch 22. There is a solution for women who can’t or don’t want to have sexual intercourse though: the best atrophic vaginitis treatment is magnetic vaginal dilators, as they negate the requirement for sex. What are the symptoms of atrophic vaginitis? The below vaginal atrophy symptoms are indicators that you have this problem, but it may be a good idea to double check with a physician if you are not sure: Vaginal dryness Vaginal burning Vaginal discharge Light bleeding after sex Pain or discomfort during sex Less vaginal lubrication during sex Shortening and tightening of the vaginal canal (vaginal stenosis) Genital itching Burning when urinating Feeling an urgent need to urinate Urinary tract infections Urinary incontinence What is the best atrophic vaginitis treatment? If you have been wondering how magnetic vaginal dilators help vaginal atrophy, it’s simple: they are designed to be the right shape and size(s) to fit inside your vagina, so you are able to gently stretch the tissues in your own time and at your own pace. Our magnetic vaginal dilators are different from other dilators in that they contain a large number of soothing Neodymium magnets, which help to increase blood flow to the area and calm irritated or inflamed tissues and nerves. Another positive effect of increased blood flow is increased production of lubrication. Ultimately it is this calming effect that makes magnetic dilators the best treatment for vaginal atrophy. Dilators gently expand vaginal capacity by stretching the vaginal walls, increasing tissue elasticity and eventually facilitating comfortable sexual penetration. This means that if you wish to restore your sex life, you can. Even if that isn’t the goal, it is still a great idea to use magnetic vaginal dilators for atrophic vaginitis because the above benefits also lead to greater comfort in general, and ease during pelvic examinations. How do I choose a magnetic dilator for atrophic vaginitis? You may be wondering what size vaginal dilator to buy for vaginal atrophy. It is normal for women with this condition to buy a small dilator and work up to using bigger dilators with time. Many purchase a full dilator set and use each one as necessary, rather than testing out one size at a time. You may want to check out our other page on this topic if you are looking for specific information on buying the right size dilator for vaginal atrophy. If you are seeing a qualified physician or pelvic floor physical therapist, they should also be to give you an idea of what size dilators you need. How do I know if my dilator is working? Once your vaginal capacity is restored enough to accommodate a penis, or to have sex without any pain, you have reached the desired result. However, women with vaginal atrophy often need to carry on using dilators regularly to maintain this capacity (if they aren’t having regular sex). Depending on how serious your vaginal atrophy is, you could start seeing results within a month. Those with a more severe case may have to work their way up through all of the dilator sizes, which might take more like six months. It is also worth noting that women often achieve greater benefits when using dilators in conjunction with a form of estrogen therapy. What other treatments work well with magnetic vaginal dilators? Estrogen Estrogen therapy isn’t right for women who have had breast cancer, because it will affect breast and endometrial tissues. In this case, estrogen can increase cancer risk because it stimulates cellular growth. However, for many women estrogen therapy can be very helpful as an atrophic vaginitis treatment, especially in conjunction with dilators. If appropriate, your physician may prescribe any of the following forms of estrogen treatment for vaginal atrophy: Oral tablets Transdermal (through the skin via a patch) Topical vaginal creams such as Estrace and Premarin (most effective, and a lower dose is required) A vaginal tablet (Vagifem) Estring (a low and steady estrogen dose via an estradiol-infused silicone ring placed around the cervix) Estrogen therapy has the following benefits: Restores normal vaginal pH Restores levels of beneficial bacteria Thickens the epithelium Increases vaginal secretions/lubrication Minimizes or eradicates vaginal dryness Nueve suppositories For women who don’t want or need to take estrogen, you can find great relief from vaginal atrophy with NeuEve suppositories. NeuEve suppositories and cream work well with dilators and are excellent products for easing menopausal discomforts such as: Vaginal odor Vaginal dryness Vaginal atrophy Itching and burning sensations Painful Bacterial vaginosis If you aren’t happy to use chemicals, rest assured that these products contain only all-natural food grade ingredients, and they’re hormone free. Have sex as often as possible Regular sex is one of the best ways to prevent and treat atrophic vaginitis. We understand that not everyone is in a position to have regular sex, but if you are, then it will be very helpful to do so. That’s because regular sexual activity during and after the menopause can keep your vaginal tissues thick and moist, thus preventing the thinning, tearing and inflammation that characterizes vaginal atrophy. It also prevents the narrowing and shortening of the birth canal, which can lead to pain when you do attempt sex. Water-based personal lubricants It is a good idea to invest in a natural personal lubricant to use alongside your dilators or during sex. Natural products won’t lead to the troublesome itching and burning that some chemical-laden store-bought products can cause. Our Slippery Stuff Lubricant is recommended by Pelvic Floor Physical Therapists because it is safe and effective. We hope this article has brought some clarity and certainty about the best atrophic vaginitis treatment for you. If you have any questions about our magnetic dilators or products, do get in touch and we will do everything we can to help you out. Don’t forget to check out the VuvaCare blog for plenty of great advice on this issue and many other women’s health concerns. Thanks for reading! Resources Vuvatech.com/pages/vaginalatrophy Vuvatech.com/pages/vaginal-atrophy-and-vuva-dilators-your-questions-answered Vuvatech.com/blogs/care/how-do-estrogen-and-dilators-help-with-vaginal-atrophy Ncbi.nlm.nih.gov/pmc/articles/PMC8797530/ Do you need to order vaginal dilators so you can start your pelvic floor therapy process? Made in the USA. Visit www.vuvatech.com VuVa Helpful Links: How do Neodymium Vaginal Dilators work? 7 Reasons for a Tight Vagina and How to Loosen How to use Vaginal Dilators How to Relax Vaginal Muscles, Vaginismus & Sex Vaginal Stretching - Keeping in Shape with Dilators Do Dilators Really Work? Yes, and They can Improve Your Sex Life! Shop for VuVa Vaginal Dilators Tara Langdale Schmidt is the inventor of the VuVa Dilator Company. She has pelvic floor dysfunction herself and wanted to create a dilator set that is made in America that women can trust. VuVatech has been in business since 2014 and has helped over 150,000 women all over the globe. She patented the Neodymium Vaginal Dilator, that is clinically proven to help with blood flow and nerve pain.
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Why Does My Vagina Hurt After Sex?
Is your vaginal pain getting in the way of your sex life? There may be an underlying medical issue that is interfering with your sexual experiences. Dyspareunia is a term describing painful intercourse, where constant genital pain occurs before, during, or after sexual intercourse (Mayo Clinic, 2021). Women with dyspareunia may - among other issues - have pain involving penetration, burning, and throbbing pain that lasts for hours even after sex (Mayo Clinic, 2021). If you are dealing with pain from sexual intercourse, then it is essential to see your physician or/and your pelvic floor physical therapist. This article will provide information on potential reasons for vaginal pain after sex, as well as some effective solutions. Causes of vaginal soreness Check out the most common causes for vaginal soreness: Lack of lubrication During sexual arousal, women experience natural lubrication that helps make their sexual experiences easier and more enjoyable. However, the time that it takes for your body to become naturally lubricated can vary amongst individuals. Feelings of anxiety may surface if your natural lubrication is not occurring exactly when you want it to, hence why it is more convenient to use a lubricant. Approximately 17% of women before menopause have issues concerning vaginal dryness when engaging in sexual intercourse (Women’s Health Concern, 2020). This can occur for a number of reasons such as inadequate foreplay and or psychological issues (ex: stress) (Women’s Health Concern, 2020). Over half of post-menopausal patients suffer from conditions associated with decreased estrogen levels (Women’s Health Concern, 2020). Some symptoms of vaginal dryness may include (NHS, 2018): Pain during sexual intercourse Sore vagina Itchy genital area Persisting urinary tract infections (UTIs) Peeing frequently Doctors typically recommend applying a water-based lubricant before engaging in sex and introducing vaginal moisturizers to treat excessive dryness (NHS, 2018). One example of a lubricant recommended by physicians is the Slippery Stuff Gel. It is a water-based and ultra-slick lubricant, which increases vaginal moisture and lubrication to enhance your sexual experiences. Tight pelvic floor muscles Your pelvic floor muscles are the muscles that control your bladder and bowel movements. They also help with sexual sensation and function (Peninsula Pelvic Floor Physiotherapy, 2020). Increased tension in the pelvic region causes the muscles to involuntarily tighten and constrict, which forcefully closes the vaginal opening as well (Peninsula Pelvic Floor Physiotherapy, 2020). Vaginismus is a condition where the muscles of the pelvic floor contract or are tight during penetration. You should see a pelvic floor physical therapist for this condition. Symptoms such as pelvic pain, painful cramps, and spasms from this condition may prevent an individual from having penetrative sexual experiences, making sex unbearable. Pelvic pain may occur throughout the vagina and bowel, persisting for days (WebMD, 2012). Generally, vaginal dilators are recommended by doctors to induce flexibility in the vagina and help relax these muscles. The Deluxe Neodymium Magnetic Vaginal Dilator Set can help you acquire control over your pelvic and vaginal muscles, by gradually stretching the vagina. VuVa Deluxe set pictured below. These vaginal dilators cause blood flow to enter the pelvic region, which calms the involuntary spasms that occur from these tight muscles. They come in a range of different sizes. Talk to your doctor or pelvic floor therapist so they can monitor your condition and treatment. Vigorous sex and fissures In the anticipation of being intimate, your body probably was not ready for the long and vigorous sex that it was exposed to. Fissures of the posterior fourchette can occur with intercourse. These are tiny cuts that can burn after intercourse or when you pee. These can cause pain during intercourse. Make sure to be tested for a yeast infection or bacterial vaginosis that may not be presenting any of their normal symptoms, but can still be present. Increased friction and pressure can cause inflammation in the vaginal tissue from prolonged and vigorous sex (Women’s Health, 2021). Additional lubrication is vital, as it decreases the friction that the vagina is exposed to. Elevated pressure and friction may cause tears in the vagina that make it more susceptible to infection (Women’s Health, 2021). All of these factors cause additional soreness and pain from engaging in sexual experiences. Vulvodynia The vulva is a female’s genital area that also consists of the skin that surrounds the vaginal opening (NHS, 2019). When there is insistent pain in the vulva, with no known cause, it is classified as vulvodynia (NHS, 2019). The main indicator of vulvodynia is persistent pain in the vulva, despite it looking normal. The pain has been described as (NHS,2019): Burning or stinging sensation Throbbing or soreness Pain activated by touch, penetration, difficulty using tampon Pain is constant, does not go away Pain worsens from sitting There are many more symptoms of this condition, and the pain is not always limited to the vulval area. It may spread over the entire genital area including the anus (NHS, 2019). Although the reasons for this condition are unknown, doctors believe potential causes may include (Mayo Clinic, 2021): Trauma and irritation of the nerves that surround the vulvar region Infections in the vagina Changes in hormones Weak pelvic muscles Muscle spasms in the pelvic floor region Connective Tissue Disorders Lower Back Nerve Trauma Suffering from this chronic condition can stall your sex life, negatively impact your relationships, and cause psychological issues (NHS, 2019). It is crucial to consult with a doctor to help treat your pain from vulvodynia. Some treatments a doctor might recommend include vaginal dilators and lubricants. Vaginismus When the muscles in the vagina spasm and contract involuntarily from any penetration occurring in the vagina (tampon, penis, sex toys, etc.), this is classified as vaginismus (WebMD, 2012). This may cause tears which can make the vagina prone to infection. This may result in a woman fearing and dismissing the notion of sexual experiences (WebMD, 2012). Another reason is a hypertonic pelvic floor which can be treated by a pelvic floor physical therapist. It is vital to consult with a medical professional to properly diagnose your condition because the symptoms associated with vaginismus rarely subside without treatment. Although the cause of vaginismus is unknown, doctors believe that it is associated with psychological factors which include fear and anxiety towards the concept of sexual experiences (WebMD, 2012). Potential causes may result from traumas, such as sexual assault. Some treatments often include using vaginal dilators, lubricants, and counseling (Web MD, 2012). Hormone changes Did you know that hormonal changes may cause pain from engaging in sex? Decreased estrogen levels can cause vaginal dryness and the thinning of vaginal tissues (North American Menopause Society, 2020). Both of these contribute to discomfort and increasing pain associated with sexual experiences. Declining estrogen is the main indicator for pain during intercourse in a woman’s midlife and onwards (WebMD, 2020). When estrogen levels drop, this decreases the natural lubrication that coats the vagina during intercourse and increases the friction the vagina is exposed to (North American Menopause Society, 2020). This causes the vagina to become dry and tight making sexual intercourse unbearable (North American Menopause Society, 2020). Menopause causes inflexibility of vaginal tissue which contributes to vaginal tightness (WebMD, 2020). After having sex, burning, inflammation, and soreness in the vagina may occur (North American Menopause Society, 2020). Some tears may result in the tissues during intercourse, causing even more pain (North American Menopause Society, 2020). Talk to your doctor about possible treatment plans. A doctor will likely recommend low-dose estrogen pills, vaginal dilators, and lubricants in the treatment plan (WebMD, 2020). Vaginal infections In many instances, the reason for decreased sexual health is a vaginal infection (vaginitis). Examples of infection include (WebMD, 2020): Bacterial vaginosis Urinary tract infection (UTIs) Genital herpes Yeast infections Pelvic inflammatory disease (PID) Some symptoms experienced from these infections are (WebMD, 2020): Itching, irritation Burning, soreness Inflammation Abnormal discharge (cottage cheese) and odor Painful sex It is crucial to get tested by a doctor to diagnose any vaginitis conditions you may have. If your infection is left untreated, it may cause sufficient damage to the reproductive organs, and worse pain, symptoms, and conditions. Symptoms are not always present when you have one of the above infections so you must demand a test sometimes from your doctor. Bartholin's cyst On each side of the vaginal opening, there are pea-sized glands known as Bartholin’s glands (WebMD, 2020) These glands are responsible for naturally lubricating the vagina for sex. Fluid travels through ducts to the vagina. However, if the ducts become blocked, this forms a swelling fluid-filled sac, a Bartholin cyst (WebMD, 2020). These cysts have the potential to grow and become noticeable as well as cause intense discomfort (NHS, 2020). Even walking, sitting, or having sex may cause pain in the vagina. Generally, sexually active women in their 20s and 30s are affected by Bartholin cysts (NHS, 2020). The cyst may become infected, causing a sore vagina, and additional symptoms and pain. It is important to go to an OB-GYN if you have a lump in your vagina. Sexually transmitted infections (STIs) A possible reason for your vagina hurting after sex may be due to a sexually transmitted infection. According to John Hopkins Medicine, approximately 20 million cases of STIs occur in the United States every year (John Hopkins Medicine, 2021). Chlamydia, genital herpes, and gonorrhea are common STIs that are known to cause pain and vaginal irritation during sex (John Hopkins Medicine, 2021). Common symptoms of STIs include (John Hopkins Medicine, 2021): Abnormal vaginal discharge Abnormal odor in the vagina and vaginal discharge Pain in the lower abdomen Rashes Burning/difficulty when urinating Painful blisters & open sores in the vagina Tingling and burning sensation in legs, buttocks, and genital area An STI can spread through sex and skin-to-skin contact, and it may cause changes to the vagina and painful sex (Embry Women’s Health, 2018). Visit your OB-GYN as soon as possible if you suffer from pain during sex that may indicate the presence of an STI. Allergic reaction to latex or lubricants Are you experiencing persistent and abnormal itching in your genital area? You may be having an allergic reaction to latex condoms or a lubricant you are using. It is estimated that 1-6 % of Americans have cases of allergies to latex (CDC, 2015). Symptoms of an allergic reaction in the vaginal area include (Healthline, 2019): Hives Inflammation and pain Swollen bumps on the skin Runny nose and congestion Watery eyes Itchy and scratchy throat Practitioners recommend switching to a water-based lubricant, birth control, or other alternatives to replace your latex condoms. Use a lubricant that works It is essential to find a lubricant that works for you. Medical professionals recommend water-based lubricants as they are higher in quality and you are less prone to an allergic reaction. Lubricants are integral to your sexual functioning, especially if you suffer from a dry vagina, which may occur from depleted estrogen levels, insufficient foreplay, medications, and psychological issues. A lubricant such as Slippery Stuff Gel moisturizes the vagina with its water-based, safe, and hygienic formula. Incorporate a lubricant in your sexual experience to make it as enjoyable and pain-free as possible. Stretch vaginal muscles with dilators A doctor often recommends vaginal dilators to stretch, strengthen, and relax the pelvic floor and vaginal muscles. These tube-shaped devices can increase the elasticity of the vaginal walls (MSK Cancer Center, 2021). By coming in different sizes, you can train the pelvic and vaginal muscles to be in your control again and alleviate your symptoms. The firmer the dilator is, the higher the quality and effectiveness. This is why dilators made of sturdy plastic, rather than soft silicone dilators, are more effective in treatment (MSK Cancer Center, 2020). VuVa Dilators are pictured below and made in the USA. The pelvic muscles lengthen and stretch around the dilators, increasing their flexibility, and decreasing the involuntary muscle spasms and constrictions (MSK Cancer Center, 2020). From this method of treatment, the hypersensitivity that is present in the vagina is reduced, which is integral in making your sexual experiences enjoyable. One example of a vaginal dilator that is recommended by physicians is the VuVa Magnetic Neodymium Magnetic Vaginal dilators, which incorporate Neodymium magnets. These magnets help counteract disease and acidity by bringing fresh oxygenated blood to the vaginal region. Try ice to ease the pain Do you feel burning in your vagina after sex? Is it sore and are you having vaginal pain? An effective treatment to relieve your vaginal pain and symptoms after sex is to put an ice pack on your vagina (WebMD, 2021). Place the ice pack for no more than 5-10 minutes at a time (Healthline, 2019). Keep your underwear on or place a washcloth between your vagina and the icepack. Do not place the icepack directly on the vulva, nor should you insert the icepack into your vagina (Healthline, 2019). It is always best to consult a medical practitioner when you are experiencing pain that lasts for more than a couple of hours. Do you need to order vaginal dilators so you can start your pelvic floor therapy process? Made in the USA. Visit www.vuvatech.com VuVa Helpful Links: How do Neodymium Vaginal Dilators work? 7 Reasons for a Tight Vagina and How to Loosen How to use Vaginal Dilators How to Relax Vaginal Muscles, Vaginismus & Sex Vaginal Stretching - Keeping in Shape with Dilators Do Dilators Really Work? Yes, and They can Improve Your Sex Life! Shop for VuVa Vaginal Dilators References: Burcham, C. (2021, July 1). Here’s 7 Reasons Why You Might Be in Pain, After Sex. Women’s Health. https://www.womenshealthmag.com/uk/health/sexual-health/a29317722/sore-vagina-after-sex/ Centers for Disease Control and Prevention. (2015, July 22). Alert on Work-Related Latex Allergy Recommends Steps to Reduce Exposures | NIOSH | CDC. https://www.cdc.gov/niosh/updates/latexpr.html Embry Women’s Health. (2018, October 31). Top 5 Common Causes of Painful Sex for Women. https://embrywomenshealth.com/top-5-common-causes-of-painful-sex-for-women/ Mayo Clinic. (2020a, July 23). Vulvodynia - Symptoms and causes. https://www.mayoclinic.org/diseases-conditions/vulvodynia/symptoms-causes/syc-20353423 Mayo Clinic. (2020b, February 7). Painful intercourse (dyspareunia) - Symptoms and causes. https://www.mayoclinic.org/diseases-conditions/painful-intercourse/symptoms-causes/syc-20375967 Mayo Clinic. (2020c, October 14). Menopause - Symptoms and causes. https://www.mayoclinic.org/diseases-conditions/menopause/symptoms-causes/syc-20353397 MSK Cancer Center. (2021, February 23). How to Use a Vaginal Dilator. Memorial Sloan Kettering Cancer Center. https://www.mskcc.org/cancer-care/patient-education/how-use-vaginal-dilator NHS. (2020, August 17). Vaginal dryness. NHS UK. https://www.nhs.uk/conditions/vaginal-dryness/ NHS website. (2020a, August 10). Bartholin’s cyst. Nhs.Uk. https://www.nhs.uk/conditions/bartholins-cyst/ NHS website. (2020b, August 17). Vulvodynia (vulval pain). Nhs.Uk. https://www.nhs.uk/conditions/vulvodynia/ North American Menopause Society. (2020). Vaginal Discomfort, Sexual Side Effects of Menopause. The North American Menopause Society. https://www.menopause.org/for-women/sexual-health-menopause-online/causes-of-sexual-problems/vaginal-discomfort Osborn, C. O. (2019, March 8). Am I Allergic to Condoms? Symptoms and Treatment. Healthline. https://www.healthline.com/health/healthy-sex/allergic-to-condom Peninsula Pelvic Floor Physiotherapy. (2020, July 22). PELVIC PAIN, PAINFUL SEX? TIGHT PELVIC FLOOR MUSCLES EXPLAINED. https://ppfp.com.au/pelvic-pain-painful-sex-tight-pelvic-floor-muscles-explained/ WebMD. (2017, March 30). What Can I Do About Vulvodynia? https://www.webmd.com/women/guide/what-can-i-do-about-vulvodynia WebMD. (2012, May 30). Vaginismus. https://www.webmd.com/women/guide/vaginismus-causes-symptoms-treatments#2-6 Women’s Health Concern. (2020, December 15). Vaginal dryness. https://www.womens-health-concern.org/help-and-advice/factsheets/vaginal-dryness/
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We create safe, effective products that truly work — designed to help you relax, restore balance, and feel good in your body again. Our VuVa® Pelvic Floor Support Sets gently calm nerves, ease tension, and support natural pelvic healing from the inside out.
