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Vaginismus Treatment Singapore

Vaginismus is a condition where the vaginal and pelvic floor muscles tighten involuntarily, making penetration painful or sometimes impossible. Although it can feel distressing, it is more common than many women realise — and importantly, it is a treatable condition.

Within our medical group — comprising Asimont Clinic, Motherlove, Motherlove GP, and our affiliated gynaecology specialist clinic — we provide discreet, medically guided care for women with vaginismus. Our approach combines physical, emotional, and clinical support, tailored to each woman’s needs in a safe and respectful environment.
Understanding The Condition

What is Vaginismus?

Vaginismus is caused by the involuntary contraction of pelvic floor muscles in response to penetration or anticipated pain. This reflex can affect attempts at:

• Sexual intercourse

• Insertion of tampons or menstrual cups

• Gynaecological examinations


Vaginismus may be classified as:

Primary Vaginismus – where penetration has never been possible

Secondary Vaginismus – where penetration was once possible but has become painful due to factors like trauma, menopause, or childbirth

• This condition can impact both physical intimacy and emotional wellbeing — but with the right approach, recovery is possible.

Recognising Signs of Involuntary Vaginal Tightness or Intimacy-Related Discomfort

Symptoms of Vaginismus and When You Should See A Doctor?

When vaginismus is present, symptoms may include:

Pain or burning at the vaginal entrance

Pain or burning at the vaginal entrance

Discomfort may occur during attempted penetration or even light touch.

Involuntary clenching of pelvic or thigh muscles

Involuntary clenching of pelvic or thigh muscles

The body may react automatically with tension or resistance.

Partner may report a sensation of

Partner may report a sensation of "hitting a wall"

Penetration may feel blocked or abruptly resisted.

Inability to tolerate penetration

Inability to tolerate penetration

Includes sexual activity, tampon use, or vaginal examinations.

Fear, anxiety, or avoidance of intimacy

Fear, anxiety, or avoidance of intimacy

Emotional distress may develop in anticipation of pain.

Inability to complete a gynaecological exam

Inability to complete a gynaecological exam

Exams may be difficult or impossible due to involuntary muscle tightening.

Reduced sexual desire or arousal

Reduced sexual desire or arousal

Fear of pain may suppress libido or create emotional distance.

Personalised, Step-by-Step Care to Support Comfort and Confidence

Treatment Options for Vaginismus at Our Affiliated Clinics

Every woman’s journey is unique, and our approach is fully personalised. Treatment may include one or more of the following:

Vaginal Dilator Therapy

Gradually introduces different sizes of dilators to help desensitise the vaginal muscles and promote controlled relaxation.

• Guided and supervised by a doctor

• Builds comfort and confidence through regular, gentle practice

Pelvic Floor Physiotherapy

Specialised techniques to improve muscle awareness, control, and release in the pelvic floor.

• Often combined with dilator therapy for optimal results

• Helps release involuntary clenching or guarding

Botulinum Toxin Injections

Used to temporarily relax overactive pelvic floor muscles, often in moderate to severe cases.

• Performed in-clinic with minimal downtime

• May be considered when other treatments have been unsuccessful

Topical Numbing Creams

Applied before penetrative activity or dilator use to reduce sensitivity and discomfort.

• Supports comfort in the early stages of treatment

• May help ease anxiety associated with anticipated pain

Psychosexual Counselling or Therapy

Provides emotional support to address underlying fears, trauma, or anxiety around intimacy.

• May be integrated with physical treatments for a holistic approach

• Partner involvement may be encouraged to support shared understanding and healing

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Compassionate, Step-by-Step Evaluation in a Safe and Private Setting

Diagnosis & Assessment at Our Affiliated Clinics

Your assessment is led by an experienced women’s health doctor and may include:

Detailed medical and sexual history

We explore your symptoms, past experiences, and any contributing factors at your comfort level.

Gentle physical and pelvic examination

Performed only with your consent, the examination helps assess muscular response and physical sensitivity.

Assessment of physical and emotional factors

We evaluate whether stress, trauma, or other conditions may be contributing to your symptoms.

Personalised, Step-by-Step Care to Support Comfort and Confidence

Treatment Process

Comprehensive Medical Consultation
Step 1

Comprehensive Medical Consultation

Your female doctor will take time to understand your history, symptoms, and goals in a private and respectful manner.

Diagnostic Testing
Step 2

Diagnostic Testing

Depending on your comfort level, this may include:

• A gentle external pelvic examination

• Assessment of pelvic floor muscle tone

• Screening for physical or emotional contributing factors

Personalised Treatment Plan
Step 3

Personalised Treatment Plan

Treatment may include a combination of the following:

• Vaginal Dilator Therapy: Gradual introduction of medical dilators under professional guidance

• Pelvic Floor Physiotherapy: Exercises and manual therapy to retrain muscle coordination

• Botulinum Toxin Injections: Temporarily relaxes pelvic muscles for more advanced or resistant cases

• Topical Anaesthetics: Helps reduce sensitivity during early stages of treatment

• Psychosexual Counselling: Optional support to address fear, trauma, or relationship strain

Ongoing Monitoring and Support
Step 4

Ongoing Monitoring and Support

Your progress will be reviewed regularly, with adjustments made as needed to support your goals and pace of recovery

Confidential & Compassionate Care At Our Affiliated Clinics

All vaginismus consultations and treatments within our medical group are conducted by trained women’s health professionals in a confidential and supportive setting. Care is delivered in line with PHMC guidelines and MOH professional standards, and overseen by doctors registered with the Singapore Medical Council. Accredited under the SMC APOC framework, our team provides ethical, safe, and evidence-based care — helping women overcome vaginismus with dignity, confidence, and expert support.

Frequently Asked Questions (FAQs)

Helpful Information Before Your Visit with Us

It has both physical and emotional components. Treatment often involves addressing both for best results.

Yes. Many women recover fully and regain pain-free intimacy and normal function with consistent care.

It temporarily relaxes overactive pelvic floor muscles, allowing the body to relearn pain-free penetration.

No. All steps are taken gradually, at your comfort level. Treatment is gentle and fully guided.

Optional. Some women prefer to involve their partner, but support can be provided individually as well.

Schedule Your Appointment
Online or Email us

Have a question? Message us on WhatsApp, fill in the form, or send us an email — we’ll be happy to assist.
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