Lybrate.com has top trusted Gynaecologists from across India. You will find Gynaecologists with more than 32 years of experience on Lybrate.com. You can find Gynaecologists online in Gurgaon and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.
Book Clinic Appointment with Dr. Yamuna
Management of Abortion
Caesarean Section Procedure
Treatment Of Female Sexual Problems
Termination Of Pregnancy Procedure
Treatment Of Pregnancy Problems
Well Woman Healthcheck
Treatment Of Female Sexual Problems
Treatment Of Medical Diseases In Pregnancy
Treatment Of Menstrual Problems
Intra-Uterine Insemination (IUI) Treatment
Medical Termination Of Pregnancy (Mtp) Procedure
Gynecology Laparoscopy Procedures
Pap Smear Procedure
Submit a review for Dr. YamunaYour feedback matters!
Vaginismus is a condition characterized by significant pain in the vagina generally during sexual intercourses. This pain occurs on penetration due to the contraction of the vaginal muscles.
The exact causes of Vaginismus are not exactly known to the doctors. But some researchers suggests that the pain might result from severe anxiety or illogical fears before sex.
Vaginismus can be primary or secondary depending on the concerned woman’s previous sexual experiences. Vaginismus can be linked to an earlier sexually painful experience, sexual trauma or psychological factors. In some cases, the pain tends to exist without any direct physical cause.
The causes of the pain might vary from women to women and might occur in some cases with only one specific partner and not with others.
Sometimes the pain might stem from underlying infections or any other underlying complications.
The symptoms of Vaginismus are as follows:
Severe pain during intercourse.
Severe pain during insertion of tampons or during any medical check-ups.
The following treatments can be useful to treat Vaginismus:
If the pain arises due to anxiety or fear, counselling sessions can help you to a remedy.
If the pain arises whenever something penetrates the vaginal walls, progressive desensitization can be useful to treat the pain. The process aims to loosen the vaginal muscles so that you don’t experience any pain during sexual intercourse.
Kegel exercises (at least 20 of them) can help in the initial stage to relax the vaginal muscles. After you exercise for a few days, you should try inserting one finger inside your vagina while doing the exercises. Try doing it gently and if it still hurts, try doing it with a lubricating jelly. This continuous procedure will help in the contraction of the vaginal muscles which eventually relax. If you wish to discuss about any specific problem, you can consult a Sexologist.
In our nose, there are three pairs of turbinates which originate on the lateral walls of our nasal cavity. When the lowest pair of the turbinates or the inferior turbinates is enlarged due to allergies or some other condition, it results in nasal blockage causing breathing difficulty. If the inferior turbinates are reduced in size by turbinate reduction, it helps to improve the obstruction of the nose as it creates more space for inhaling air or breathing through the nose.
This can be done with a number of techniques. The most common method used is the submucous resection and also radio-frequency reduction. While in the operating room, these two procedures are often combined with a procedure known as outfracture. In this process, the inferior turbinates are pushed to the sides of the nose by which space for breathing opens up a little more. It is done by breaking the small thin bone which is inside the turbinate itself.
An insight into the different types of procedures for turbinate reduction:
The submucous resection of the inferior turbinates is done in the operation theatre under general anesthesia. In this procedure, a small cut is made in the lining of the inferior turbinates. Then the lining is lifted off the thin bone which forms the main structural support for the inferior turbinate. After removing the part of this bone and after the healing process which includes shrinking of the lining of the turbinate, the size of the nasal passage increases and creates more breathing space providing long term relief.
The radiofrequency turbinate reduction is performed in a chamber without any anesthesia. A specially designed probe with a needle is used which is placed in the turbinate and radio-frequency energy is transferred in order to heat up the tissues under the surface in a controlled way. The heating of the tissues creates damage, and the size of the inferior turbinates is reduced during the healing process. The whole procedure takes around 10 minutes. The risks of this procedure are comparatively low with little or no pain during the phase of healing. Sometimes one single session is not effective, and many patients require more than one session.
Risks of turbinate reduction:
The most common risk of turbinate reduction is nose bleeding. As the inferior turbinates have an excellent supply of blood, there is a chance of nose bleeding after the surgery. Another risk of turbinate reduction is the dryness of nose which is temporary, but in some case, it can be permanent. Also, any kind of surgery inside the nose can cause changes in the sense of smell. The sense of smell generally returns, but in some cases, it can also be long lasting.
Your doctor will be able to advise on the line of treatment best for your condition.