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VAGINISMUS TREATMENT at HERA CLINIC In this section, vaginismus and it's treatment methods in the Hera Women’s Health Center are explained with the question and answer method. Who encounters vaginismus mostly? Because of certain culture specific reasons, vaginismus cases are more frequent in Turkey and Moslem population. When the personal histories of the women, who apply to Hera Women’s Health Center, are taken, it has been observed that: ► They were sexually abused in their childhood or teenage years Yet some women, who suffer from vaginismus, consists of people who are raised in quite modern families without any strict education of moral or religious character and have high levels of education and culture. With these kinds of women there is no apparent reason detected at the first glance. Patients, who receive treatment at our clinic, consist of many people that possess different cultural constitutions. Yet, it does not change the fact that everyone can encounter vaginismus problem, even if the person is a doctor moreover a gynecologist (thus we had many patients and couples who were both doctors and gynecologists). How frequent is vaginismus in Turkey? It should not be forgotten that vaginismus is not just the problem of Muslim countries like ours. Vaginismus problem exists in all countries around the world (U.S.A, European countries, Australia etc…) and there many private centers working on this matter. Negative inculcations and prejudices acquired since childhood about sexuality, first night and hymen, almost like a computer’s memory, instill themselves into the subconscious. Erasing these needless fears and instilling correct information and reforming the memory, take time. As you would not expect a child to run before crawl, it is time consuming for a person to overcome her deficiencies and fears and become psychologically ready. Only exceptional cases are light vaginismus patients who only have deficiency in knowledge and do not have much fear or contraction. With patients who themselves or their spouses do not have much experience, by giving them the necessary information, the problem can even be solved in a single session. Other than that, vaginismus is a really serious and big problem that cannot be treated in a single session. After getting some information about the spouse (husband) as well, in order to make a definite diagnosis, a simple gynecological examination that only last for few minutes is conducted. With the gynecological examination which is very easy, painless and only last for a few minutes, a person’s external genitalia is assessed by visual observation, the magnitude of the contractions are considered and couples are informed about the situation. Vaginismus is a problem that does not have a standard treatment program, but a one that necessitates a “personally tailored” treatment. Therefore, after taking the detailed personal accounts of the patients, together with a simple gynecological examination, treatments must be planned according to the causes and the level of contractions. The executed gynecological examination is actually not a real gynecological examination, but it is just the visual observation of the external genitalia and it is necessary for determining the level of the contractions. In our clinic Hera Women’s Health Center, we categorize vaginismus in four groups “from one positive to four positive” according to the level of contractions. In this categorization, one positive signifies light, two and three positive medium and four positive the most severe cases. In our clinic, our patient and her spouse’s adaptation to the treatment, their patience and determination, execution of the simple home works regularly, would not change our 100% success rate in the treatment even in the severest cases. (The severeness of the problem may only affect the treatment program and maybe the duration of the treatment) At our center, our patients never feel pain or an ache during “either the examination or the treatments”. Therefore, there is no need for you to fear the treatment or the examinations or to be embarrassed about them. The gynecological assessment that we make of our patients at the first meeting only takes about a few seconds and consists of only a visual observation. To whom should a woman suffering from a sexual relation problem consult? Although vaginismus is 90% a psychological problem, in 10% it is related to organic (anatomical and pathological reasons about that region) causes. The organic causes outside the psychological ones are: ► Vagina’s being atrophic (being quite smaller than normal) “Dyspareunia” means “painful sexual intercourse”. Although vaginismus is a cause for dyspareunia, in this condition, usually there may be underlying diseases and in such a case, certain surgical and medicine treatments may provide definite solutions. Such cases as, infections in the vagina and vulva region, previously had vaginal operations, not fully recovered cuts of the perineum region (episiotomy) during birth giving, tumors and in vulva vestibulitis, patients can benefit from surgical and medicine treatments. Who can give vaginismus treatments? As there is yet no specialty field such as “sexology” in our country (Turkey), a few specialists, who have educated themselves in this matter, are working in the trajectory of their own experiences. The point that should not be forgotten is that, in the right clinic and in the right way a treatment should be initiated. In the last four years, more than 350 patients benefitted from the treatments with a 100% success rate in our clinic. Click for the scientific studies that we conducted about vaginismus treatments at our clinic >> How are vaginismus treatments conducted at our center? For example, certain patients may benefit from hypnotherapy and their treatments are more hypnosis based. Some and usually the most of the patients are suitable for behavioral therapies and their treatments are more behavioral sexual therapy based. After listening to the histories of the patients in the first meeting and then conducting a simple gynecological examination, people are informed about their own genital systems, their misconceptions and deficiencies in information are corrected. Later, with some easy and painless exercises (behavioral therapy) treatments are continued. Exercises are given to the patients as home work as well. If it is necessary, supporting by hypnotherapies, people are relaxed and loosened. How many sessions do the treatments take in average at our center? The period of stay should not coincide with the menstrual period of the person. If there is such a situation, please call us before so that patient’s period can be taken forward or backward through some medications. Especially couples, who live near Ankara and are able to come to the city only on the weekends, can arrange themselves as to come weekly on Saturdays. Treatment sessions can be programmed according to the places people com from, job conditions they have and their conditions for transportation. With people who can attend treatments regularly, vaginismus problem can be solved between 2 to 5 days in average, yet it can also vary between 1 to 15 days depending on the situation. Vaginismus treatments that are applied in a concentrated way are very Scientific, Easy, Fast and Absolutely Painless. What affects the success of the treatment? The home works given are the reviews of the exercises executed in the clinic and they aim to enable the person to practice and develop herself. Although they may seem boring at the beginning, in time, the home works will become simple and turn into “home games”. As it has been told in the section for the causes of vaginismus, vaginismus is the psychological outcome of certain incorrect and exaggerated information or unpleasant sexual experiences cast into the subconscious since the very early ages in the childhood and to get rid of the problem entirely may take time depending on the person. Therefore, willpower, sacrifice and patience are a must. The beautiful point here is that after resolving your problem in a short time, sexuality enters your life and you are able to give birth to a child! This beautiful moment will be enough to wipe away all the hardship you lived out of your memory. Having no resolve for your problem with the previously applied wrong and insufficient sexual therapies, would put you into distress and consume your hopes. “To start the right treatment at the right center” are the most crucial factors that affect the duration of the treatment and its success. Is it a must for the spouses to join the treatment? What is our rate of success? Another important point is that, with all of the patients who have been cured, there has never been a recurrence (the problem has never reoccurred). We present our works at different periods in national and international conferences. When should I get an appointment for treatment? Please come to our center relaxed and believing in yourselves... You can also overcome this problem that everyone does. Be sure that even getting an appointment and coming to our clinic to talk is already the 50% of the treatment. Vaginismus is a “delay-avoid disorder”. Patients that delay and needlessly avoid their treatments with many excuses after a few sessions of simple treatment program see the positive results and always ask themselves the same question: “Why did I wait for so long, was it this easy?” How are fees calculated in the vaginismus treatments at our clinic? From the patients who decide on the treatment, according to the level of vaginismus, a single fee (as a package) is taken and throughout the treatment no extra charges are made. As the treatment package fee differs from person to person depending on the level of the sickness and the method that is going to be applied, this fee can only be decided after the person is examined. Where can our guests that come from outside the city stay in Ankara? If you do not have a friend or relative that you can stay with or feel comfortable at during your treatment in Ankara, you can prefer the “Başkent Öğretmenevi”, certain hostels and the family hotels that we suggest below: Related Links: |