VAGINSMUS     involuntary painful contraction of perineal muscles prior to or during insetion of any object into vagina .the experience or even the anticipation of pain on vaginal muscles to contract, including the vaginal opening and causing further pain when penetration is attempted.                                                                                                                             Systems affected;reproductive                                                                                                     predominantage;post pubertal                                                                                     predominant sex;female only                                                                                            SIGNS AND SYMPTOMS                                                                                                               pain with vaginal sexual intercourse                                                                                      reluctance or avoidance of pelvic examination.                                                                                                                    Infertility                                                                                                                                                               small and non distensible vaginal opening

rigid hymen                                                                                                                                  anatomic or congenital.abnormalities.                                                                                                                       CAUSES

history of genital or psychic trauma,especially incest  previous traumatic gynecologic        vaginal infections                                                                                                                               skin disorders involving vulva                                                                                                           scarring following episiotomy or vaginal repair operations  PID and endometriosis                                                                                                                                           vaginitis                                                                                                                                       decreased vaginal lubrication secondary to hormonal imbalance.                                                                      

 RISK FACTORS                                                                                                                 previous sexual trauma                                                                                                                      incest.



ASASIRA ANDREW A is a Ugandan and a free lance writer mostly about tourism, education, health and current situations in Uganda. the sole purpose of the writer is to share and discuss different aspects of life .
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