How is vaginismus diagnosed?

Your healthcare provider will ask about your symptoms and your medical and sexual history. A pelvic exam can help rule out other problems or confirm the presence of muscle spasms. Your provider may apply a topical numbing cream to the outside of the vagina before the exam to make the process more comfortable for you.

Last reviewed by a Cleveland Clinic medical professional on 10/28/2020.


  • The American College of Obstetricians and Gynecologists. When Sex Is Painful. Accessed 10/29/2020.
  • International Society for the Study of Vulvovaginal Disease. Vaginismus. Accessed 10/29/2020.
  • Merck Manual. Provoked Vestibulodynia. Accessed 10/29/2020.
  • Merck Manual. Vaginismus. Accessed 10/29/2020.
  • National Health Service (UK). Vaginismus. Accessed 10/29/2020.

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