Hi
With the way you described the condition, I would assume that the pain usually occurs upon entry into the
vaginal orifice, is this correct?
This may suggest the presence of dyspareunia. Dyspareunia refers to a condition of pain during sexual
intercourse. This pain may occur due to underlying disease conditions. Differentials will be:
*Vaginismus
*Vaginitis
*Problems with lubrication
*Problems with the ovaries and pelvic structures
*Infections of the genitalia and the urinary tract eg the urethra
*Interstitial cystitis
*Trauma
In your case, I would lean towards vaginismus more. You have noted that you experience difficulty in inserting
a tampon (is this correct?).This may be a case of primary vaginismus. Vaginismus refers to the contraction or
tightening of the muscles within the opening of the vaginal walls. Psychological factors have been implicated
here.
Check this URL:
http://findarticles.com/p/articles/mi_m3225/is_8_63/ai_74268421/pg_6
Have this assessed by your gynecologist. A complete gynecologic examination, ultrasound of pelvic structures
and urinalysis may help ascertain the underlying cause. If any structural or organic causes are ruled out
,then primary vaginismus may be likely.
