LADY'S HEALTH B: UNDERSTAND YOUR VAGINA AND SEXUAL PERFORMANCE

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When your vagina feels very tight, as though nothing could go inside, you may have a condition called vaginismus. 
Vaginismus can make efforts to have penetrative sex very painful.  
Vaginismus is an involuntary spasm of the vaginal muscles caused by a deep emotional inability to relax these muscles in order to allow penetration. In almost all cases, the vulva and vagina are completely healthy.
Primary vaginismus, where nothing has ever entered the vagina, not even a tampon, is common among girls who have had a very loving, but sometimes over-protective background. They may have grown up with well-meaning but powerful taboos around sex and find it hard to move past that.  Some women who experience vaginismus just hold a belief that sex is painful, or that they aren't able have sex. A history of sexual assault, abuse or family violence may also be associated with this condition. 
You can get help if you have vaginismus. Specialist sexual counselling is very helpful and is often combined with help from a physiotherapist to use a vaginal dilator or 'trainer'. Trainers are plastic tubes that allow women to learn to insert something into their vagina. They should only be used under professional guidance. 
Treated  appropriately, over 80 per cent of women will overcome this distressing condition.

If you suffer from pain during sex, it is important to take note of whether the pain is deep inside or if it's closer to the opening of your vagina. 
The term used to describe pain during sexual intercourse is dyspareunia.  
In younger women, if you feel pain as the penis is attempting to enter the vagina, it is possibly due to vaginismus. 
Deeper internal pain may be due to a penis or sex toy touching the neck of the womb, or ovaries, and having sex in a different position may help. If the pain persists, it’s a good idea to see a gynaecologist in case it is an ovarian cyst.
Problems such as skin disorders, herpes infections or thrush can make intercourse very uncomfortable or painful. 
There is always an emotional and frequently hidden component to any sexual problem, whether cause or effect, and that aspect should be acknowledged by your doctor.
In older women, particularly those who are post-menopausal, your vagina may be dry and inflamed due to a lack of oestrogen – a hormone that helps to keep the vagina moist.  A good lubricant or oestrogen cream can help. 
Another common cause of a dry vagina at any age is lack of arousal. As you get older it can take longer to become physically aroused. Lack of sufficient foreplay before penetration, either with your partner’s penis, fingers or sex toys, will cause painful sex. This sometimes becomes so uncomfortable that a woman may end up avoiding sex altogether.

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