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Vaginismus is a condition where there is involuntary tightness of the vagina during attempted intercourse. Reacting to the anticipation of pain, the body automatically tightens the vaginal muscles, bracing to protect itself from harm. Sex becomes uncomfortable or painful, and entry may be more difficult or impossible depending upon the severity of this tightened state.


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When vaginal atrophy goes undiagnosed and a woman continues to attempt to engage in intercourse, vaginismus may develop. It is important in these situations to address both the vaginal atrophy and vaginismus. Both problems will need to be treated to ensure full resolution. Without addressing the vaginal atrophy, it will be difficult to resolve the vaginismus as it may continue to be triggered by pain from the atrophy condition.

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