Vaginismus: Hemi chungchang hi hlau lovin kan sawi thei ang em?

Vawiin hian harsatna pakhat, hmeichhe tam takin sawi an hreh deuh a, mahse a chang chuan ngawi renga an tuar thin chungchang kan sawi dawn a ni. Sex hman lai emaw, i vagina-a tampon ang chi thil i dah lai emaw, doctor-in pelvic exam a neih lai emaw pawhin i vagina chu tuar theih loh khawpa na a ni tih i hria em?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..? Tichuan he thawnthu hi i tan a pawimawh hle ang. Hetiang dinhmun hi vaginismus kan ti a.

Vaginal tightness, a nih loh leh vaginismus tih hi eng nge ni?

A awlsam zawngin sawi ila, vaginismus hi i duh loh zawnga i vagina chhehvela taksa ruhte tihkhauh, i thunun theih loh a ni. Miin i mitah thil a dah nghal a, i mit i khar ang bawkin hei pawh hi thil awmdan pangngai a ni. Hetianga taksa ruh (muscle tightness) hian i vagina-ah engmah a dah theih loh phah a, a nih loh leh chutianga i tih tum chuan natna nasa tak emaw, hrehawmna emaw a thlen thei bawk.

Ngaihtuah teh, vagina hi hmeichhe reproductive system-a tel a ni. Nausen pum hnuai lam, nausen pum (cervix) leh taksa pawn lam inzawmkhawmna kawngpui (passageway) a ni. Chuvangin, heng taksa ruhte hi a inkhauh chuan, sex hman te, tampon dah te, emaw, gynecologist te pelvic exam te pawh hi rin loh takin a hrehawm thei a ni.

He natna hi tuin nge nei thei ang? Engtiang chiahin nge a hluar?

Hetiang dinhmun hi engtiang chiahin nge a awm tih chiang taka sawi a harsa a, a chhan chu mi tam tak chuan an sawi zak emaw, an hlau emaw a ni. Mi thenkhat chuan an doctor hnenah pawh an hrilh ngai lo. Chuvangin, i ngaihtuah aiin hmeichhiain he harsatna hi an tuar tam zawk a ni thei.

Heng chhinchhiahnate hi tleirawl lai, kum sawm leh pariat emaw, kum sawmhnih emaw vel, sex i hman tirh atang khan a lang tan tlangpui . A nih loh leh, tampon i dah tum hmasak ber lai emaw, doctor-in pelvic exam a neih lai emaw pawhin hei hi i hmu thei bawk.

Mahse, hmeichhe thenkhat chuan nakin lawkah he natna hi an nei thei a ni. Kum tam tak harsatna awm lo hnuah pawh he taksa ruh (muscle tightness) hi a lo lang nghal thei a ni. Mi thenkhat chuan an vagina-a thil dah apiangin he natna hi an nei thin a, thenkhat erawh chuan sex hman lai emaw, doctor-in an enfiah lai emaw chauhvin he natna hi an nei thei thung.

Engvangin nge hetiang hi a lo awm? A chhan engte nge ni?

Doctor-te chuan mi thenkhatin vaginismus an neih chhan chiang takin an la hre lo. Taksa, rilru leh mipat hmeichhiatna lam thil inzawmkhawm a ni thei. A châng chuan, bladder infection, urinary tract infection (UTIs), leh yeast infection ang chi thilte hian vaginismus a ti na zual thei bawk.

A tlangpuiin, he dinhmun hi nghawng thei chhan hrang hrang a awm a:

• Lungkhamna (anxiety disorder) te: 1.1.Rilru lam harsatna nei, lungkham lutuk leh hlauhna nei te hian hetiang hi an nei tam zawk.
• Nau neih laia hliam: Entirnan, vaginal tears.
• Tun hmaa surgery neih tawhte: Vagina-a surgery an tih vang pawh a ni thei.
• Sex chungchanga hlauhna emaw, ngaihdan tha lo emaw: A hmaa mipat hmeichhiatna lama tihduhdahna, pawngsual emaw, trauma emaw avanga sex chungchangah hlauhna emaw, nuam lo emaw i neih chuan chu pawh chu a chhan a ni thei bawk.

Hmeichhe naupang pakhat, a naupan laia thil ṭha lo tak tawk tawh, sex chungchang a ngaihtuah pawhin a hlauthawng hle tih han mitthla teh. Nupui a neih hnuah pawh a pasal nena sex hman a tum apiangin a hnute a khauh a, na tak tak a nei thin. Hei hi a sualna a ni lo, mahse a tuar a, a chhan chu tumah a hrilh theih loh vang a ni.

Vaginismus nen hian eng dinhmun dang nge inang?

A châng chuan vaginismus ang chi natna dang a awm thei a, chuvangin doctor-in a thliar hrang thiam a pawimawh hle.

• Vaginal atrophy: Menopause hnuah, thlasik a reh chuan hmeichhiate estrogen level a tlahniam thin. Hei hian vagina lining chu a ti thim a, a ti vawt bawk. Hei hi vaginal atrophy an ti a. Hei hian sex hman laiin natna a thlen thei bawk.
• Vulvar vestibulitis (provoked vestibulodynia tia hriat bawk): Hei hi sex hman laiin natna thlentu (dyspareunia) a ni bawk. Thil pakhat chu vagina chhunga dah a nih atang khan natna hi a intan thei a, mipat hmeichhiatna hman chhung zawng pawhin a awm thei bawk.

Hei hi eng symptoms nge ni?

Vaginismus i neih chuan symptoms i nei thei ang:

• Vagina chhunga thil dah luh hian nuam lo emaw, natna emaw hriat.
• Vaginal muscle tight emaw natna emaw avanga sex hman theih loh emaw, pelvic exam tih theih loh.
• Mipat hmeichhiatna hmanna hrehawm tak.

Sex hman laia natna i neih chuan, emaw, tampon i thun laia natna i hriat chuan thil pangngai a ni lo. Chuvangin, doctor hmu la, sawipui ngei ang che.

Engtin nge doctor hian hei hi a hriat theih?

Doctor i hmuh hunah i symptoms te, i medical history te, leh i sex life chungchang te zawhna an zawt ang che. Tichuan, harsatna dang an neih leh neih loh enfiah nan leh taksa ruh (muscle tightness) enfiah nan pelvic exam an nei thei bawk. Mahse lungngai suh, a tam zawkah chuan doctor chuan he exam hi i tana nuam tur angin a ti ang a, vagina vel ah topical numbing cream a hnawih mai thei.

Hei hi eng enkawlna nge ni?

Thu lawmawm tak chu he natna hi enkawlna tur vaginismus an tih hi a ni! Heng enkawlnate hian i taksa ruh (muscle spasms) (reflexes) tihziaawmna tur leh he natna thlentu hlauhna leh lungkhamna te tihbo nan hna a thawk ber a ni.

I doctor chuan heng enkawlna zinga pakhat emaw, a aia tam emaw a rawn rawt thei ang:

• Topical therapy: Doctor-in a pek ang chi natna tidamtu cream Lidocaine emaw, ointment dang emaw hian he natna hi a tiziaawm thei a ni.
• Pelvic floor physical therapy: Hetah hian physical therapist chuan i pelvic floor muscle (i taksa peng hrang hrang, i vagina leh bladder ang chi) te chu i rilru hahdam dan leh control dan tur a zirtir che a ni. Heng exercise te hi a \angkai hle.
• Vaginal dilator therapy: Vaginal dilator hi tube ang chi, a lian leh te chi hrang hranga siam a ni. Vagina chu zawi zawiin an tizau a, a chhunga thil dah luh thiam tir a, sensitivity tihziaawm nan an hmang thin. I doctor chuan an hman dan tur a kawhhmuh ang che. An vagina vel chu numbing cream hnawih turin an ti hmasa mai thei a, chu chuan dah a awlsam phah ang.
• Cognitive Behavioral Therapy (CBT): CBT hi therapy chi khat a ni a, i ngaihtuahnain i rilru leh nungchang a nghawng dan hriatthiamna a pe thin. Lungkhamna, lungngaihna, leh post-traumatic stress disorder (PTSD) ang chi natna enkawlna tha tak a ni. Vaginismus-ah pawh a pui thei bawk.
• Sex therapy: Trained sex therapist-te chuan mimal leh nupa te chu an mipat hmeichhiatna lama hlimna chu an hmuchhuak leh theih nan an pui thin. Hei hi nang leh i kawppui tan chuan buaina chu in thawh dun theihna kawng tha tak a ni thei.

Hei hian eng harsatna dang nge a thlen theih?

Vaginismus hian i sex life chauh a nghawng thei lo va, i kawppui nena in inzawmna pawh a nghawng thei a ni. I rilru hriselna a nghawng thei bawk a, lungkhamna leh lungngaihna a thlen thei bawk. Nau pai i tum a nih chuan he natna hian naupai a ti harsa zual thei a ni.

Hei hi ven dan tur a awm em?

Dik tak chuan mi thenkhat vaginismus thlentu dik tak kan la hriat loh avangin tun dinhmunah chuan ven dan tur a awm lo.

Enkawl a nih chuan a dam leh dawn em ni? Eng ang thlirna nge ni ang?

Hei hi a pawimawh ber a ni! Vaginismus vei tam tak chu enkawl hnuah an dam leh thin. Mahse, hlawhtling taka enkawl tur chuan hun a duh a, dawhtheihna a ngai a ni.Zan khat thil thuah a dam leh dawn lo. Mahse, vaginismus natna tizualtu lo kawng dangin mipat hmeichhiatna lama thil tawn hlimawm leh nuam tak tak i la nei thei tih hre reng ang che.

Engtikah nge Doctor i hmuh a ngaih?

Heng symptoms te hi i neih chuan doctor pan ngei ang:

• Genital area-a itching emaw, kang emaw.
• Sex hman laiin natna.
• Zun laiin natna (dysuria).
• Vaginal discharge danglam emaw rimchhia emaw.
• Vagina vel a sen, na, emaw, a hring emaw.

Doctor hnena zawh tur pawimawhte chu engte nge ni?

Doctor hmu tura i kal hunah heng zawhnate hi zawh theihnghilh suh:

• Engvangin nge thil ka dah luh hian a na em em?
• Ka tan enge inenkawlna tha ber?
• Engtin nge ka sex nun hi nuam ka tih theih ang?
• He vaginismus dinhmun hi hun kal zelah a tha lehzual ang em, a chhe zawk ang em?
• Psychological support, i.e., counseling hian min pui dawn em ni?

Hriat reng tur chu, vaginal tightness emaw, na emaw avanga sex hman harsatna i neih chuan sawi zak suh. Nangmah chauhin i tuar a ngai lo. Sex hman laia natna thlen thei harsatna tam tak a awm a, vaginismus pawh chutiang zinga mi a ni. Heng harsatna zawng zawng deuhthaw hi enkawl theih a ni. Inenkawl zawhah mi tam tak sex nun leh rilru hriselna a \ha hle.

A tawp berah chuan point pawimawh tlemte

Vaginismus hi taksa leh rilru lamah pawh a nghawng thei che a ni. I sualna a ni lo. Hemi chungchang hi in pahnih hian in hriatthiam theih nan leh in hmachhawn theih nan in kawppui nen inhawng taka sawi dun a pawimawh hle.

Hei hi a chinfel dan tha ber chu damdawi lam thurawn leh enkawlna dik tak lak hi a ni. Doctor hmu a, i harsatna hrilh chu hlau lo la, zak suh. I tanpui turin an awm reng a ni. Nang pawhin hrehawmna awm lo, hlim taka nun theihna i nei a ni.

` Vaginal tightening, Vaginismus, Sexual pain, Hmeichhe hriselna, Vaginal muscles, Gynecology, Sexual counselling