I'm a 21 year old female and I have been in a relationship for 3 years but we haven't had sex till now. We have done everything else but I am not able to do sexual intercourse. I feel afraid of it and get nervous and anxiety. It is causing problems between me and my partner. I think it is a case of vaginismus. Can you help?

Dr. Rahul GuptaSexologist14yrs exp

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Hello- vaginal spasm (vaginismus) is a condition which affects a woman's ability to engage in any form of vaginal penetration, including sexual penetration, insertion of tampons, and gynecological examinations. This is the result of a conditioned reflex of the pubococcygeus (pc) muscle, causing muscles in the vagina to tense suddenly and making any kind of vaginal penetration either painful or impossible. Use the finger pliers massage with vip cream to soothe the vagina. Generally, you can use warm semen to massage your vagina since semen contains a lot of prostaglandins to help with tissue relaxation. A warm vaginal stimulation can induce vaginal blood circulation and trigger prostaglandin and androgen hormone synthesis. Or, use a warm vaginal dilator to emulate a hot penis. You can buy a medical vaginal dilator and then heat it up with warm water. Apply vip cream to your vagina and then insert the heated dilator into it gradually. If you use semen, you'll need pregnancy protection if you don't want to get pregnant.  

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