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.