What is the difference between Primary and Seconday Vaginismus?

Every women's experience with Vaginimus is going to vary and can be experienced at any age or time in life. There are two types of Vaginismus classifications. One is called Primary and the other Secondary. They are used to identify the time of onset within the medical community although there are subtle differences between the two. 

Primary Vaginismus typically is referenced when first attempt of sexual intercourse or use tampon is painful and/or impossible. Their partner is unable to achieve successful penetration and is often described as hitting a brick wall. Women also experiencing primary vaginismus can have trouble with gynecology exams. 

Secondary Vaginismus is refered  when sexual intercourse becomes painful/impossible later on in life after they have had a period of time with pain-free intercourse. Secondary often occurs after a temporary pelvic issue such as a hard transistion with menopause, cancer related issues, or as something as simple as a yeast infection.  Those issues can be treated or managed but the woman continues to experience painful sex, difficult gynecology exams, and/or trouble with the use of tampons. Seondary Vaginismus, could then escalate  to a severity of intercourse being impossible.

Primary and Secondary can be confusing to some women in reference to not knowing what classification they fit in with. Many women may experience painful intercourse at many different periods of their life but it is not consistent. As a result they are constantly worried about the control they have over their pelvic muscles, which could in time result in a constant presence of Vaginismus. There are also women who at the beginning experince painful sex but were able to tolerate it but as years have gone by that pain gradually increases resulting in the inability to achieve penetration.  

As far as treating primary or secondary there are very little differences. Primary typically involves more emotional triggers and anxiety. So they usually need to work through psycological issues in order to make a full and complete recovery. Secondary can usually bypass that work and just focus on a treatment in controling the pelvic muscles. Although if negative feelings towards sex has evolved whether by sexual trauma, long periods of painful or absent sex, or relationship turmoil emotional issues should be addressed. 

Connecting to the right phyicians and therapists  is critical to ensure a successful recovery. They should have a indepth understanding of Vaginismus in both the physical compontents and mental components.