Ideally, treatment should be provided by a team consisting of a gynecologist, sexologist/sex therapist, and physiotherapist. Since there is often increased tension in the pelvic floor (when the pelvic floor muscles are often weak), special physiotherapeutic methods (pelvic floor training) are very helpful.
In addition, elements of pain therapy as well as classic sexual and couple therapeutic elements are important. Sexual problems are embedded in a somatic, psychological, relationship, and social context through which the practitioner / the practitioner needs at least a rough idea, to meet adequate decisions regarding diagnosis, treatment, or referral.
Therapy for vaginismus
Depending on the level of knowledge of those affected, detailed advice and education about the anatomy of the vulva, vagina and internal genitals may be necessary to increase familiarity with one’s own body.
Exploring the genitals with your own fingers, then carefully inserting your finger (your own and / or your partner’s) into the vagina
Possibly . is displayed pelvic floor therapy.
Often phases arise in the course of therapy in which every contact is rejected. This is then treated therapeutically.
Sex therapy with a Sensate Focus focus is particularly suitable for the couple .
Therapy for dyspareunia
Depending on the cause, the underlying disease must of course be treated first.
If the relationship is already so stressed by the painful sexual intercourse that you can no longer talk to each other without reproaching each other, then help is essential.
Sex therapy is particularly suitable to get out of the vicious circle – chronic painful intercourse, fear of pain, the resulting tension in the pelvic floor and avoidance of sexuality. Through regular sensual exercises, both partners learn to break through the old, painful pattern and replace it with a new, subtle sexuality that suits the body.
Therapy for vulvodynia
In addition, a mixture of sexual counseling (use of lubricating creams; change of posture; no excessive genital hygiene measures; no overly tight clothing) combined with information and advice on improving the sexual skills of the man/couple is often used.
Special sex therapeutic treatment also includes fear reduction through relaxation training or systematic desensitization and, of course, therapy for the often additional sexual problems.