Vaginismus is a condition in which the muscles surrounding the vaginal opening contract involuntarily whenever penetration is attempted — whether during intercourse, a gynecological examination, or even tampon insertion. This is not a conscious act; the body triggers these spasms automatically, as if activating a protective reflex. At THE FIT CLINIC Bangkok, we see many women who have silently endured this condition for years, either too embarrassed to seek help or unaware that treatment options exist.
Vaginismus is classified into two main types. Primary vaginismus occurs in women who have never been able to have pain-free penetration from their very first attempt. Secondary vaginismus develops in women who previously had comfortable intercourse but later experience involuntary spasms — triggered by difficult childbirth, pelvic surgery, infection, menopause-related dryness, or sexual trauma. In both cases, the cycle of pain, anticipation, and muscle tension feeds itself and typically worsens without targeted treatment.
Ask whether you need to be seen
Message us with what you are experiencing and we will tell you whether an examination is worth making, and what the appointment involves.
WhatsAppLINEDiagnosis at THE FIT CLINIC is conducted with complete discretion and respect. Your specialist will take a detailed history, discuss your experiences openly, and may perform a gentle physical assessment to classify the severity of muscle hypertonicity on a standard four-point scale. No examination is performed without your full informed consent, and your comfort is always the priority. Diagnosis is usually straightforward and can be completed at your first consultation.
Treatment is personalised, and results vary between individuals. THE FIT CLINIC offers vaginal dilator therapy (with progressive desensitisation exercises), specialised pelvic floor physiotherapy with biofeedback, Botox injection into the vaginal muscles for severe or treatment-resistant cases, and psychological support to address underlying anxiety or trauma. Progress is reviewed over the following weeks and the plan adjusted. Results vary between individuals. You do not have to keep suffering in silence — vaginismus is a treatable condition, and THE FIT CLINIC is here to help every step of the way.