The list of treatments mentioned in various sources for Vaginismus includes the following list. Always seek professional medical advice about any treatment or change in treatment plans.
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Treatment is designed to eliminate maladaptive muscle constriction and underlying psychological problems. In Masters and Johnson therapy, the patient uses a graduated series of dilators, which she inserts into her vagina while tensing and relaxing her pelvic muscles. The patient controls the amount of time that the dilator is left in place and the movement of the dilator. Together with her sexual partner, she begins sensate focus and counseling therapy to increase sexual responsiveness, improve communication skills, and resolve any underlying conflicts.
Kaplan therapy also uses progressive insertion of dilators or fingers (in vivo or desensitization therapy), with behavior therapy (imagining vaginal penetration until it can be tolerated) and, if necessary, psychoanalysis and hypnosis. Practitioners of both therapies claim a 100% cure rate.
Source: Professional Guide to Diseases (Eighth Edition), 2005
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