Patient may first time feel pain during Sexual act once a woman get pain due to any of the cause as hormonal disorder or decreased pelvic blood supply or any other cause
CAUSES OF VAGINISMUS
Sexual aversion disorder
Idiopathic
Neoplasm’s of vagina
Vulvar vestibulitis
Female arousal disorder
DIAGNOSTIC TEST
Hormone testing total estradiol
prolectin LH, FSH, T3, T4, TSH other as cortical
Ultrasound scanning
Pelvic nerve testing (NCV EMG )
Psychoanalysis
Detailed sex counseling