1. Vaginal Dryness & Lack of Lubrication

Causes: Low estrogen levels (menopause, postpartum, breastfeeding), dehydration, medications (antidepressants, birth control), or insufficient foreplay.
Solution: Use water-based lubricants, stay hydrated, and consider estrogen therapy if recommended by a doctor.

2. Infections (UTIs, Yeast Infections, STIs, Vaginitis)

Causes: Bacterial or fungal infections in the vagina or urinary tract, leading to burning, itching, discharge, or foul odor.
Solution: Antibiotics or antifungal medications, good vaginal hygiene, and avoiding irritants like scented soaps.

3. Pelvic Floor Dysfunction & Muscle Tightness

Causes: Overactive pelvic floor muscles, past trauma, or chronic stress.
Solution: Pelvic floor therapy, relaxation exercises, and physiotherapy.

4. Endometriosis & Pelvic Inflammatory Disease (PID)

Causes: Chronic inflammation or scar tissue in the pelvic area, causing deep pain during sex.
Solution: Hormonal therapy, pain relief medications, or laparoscopic surgery if needed.

5. Vaginismus (Involuntary Vaginal Tightness)

Causes: Anxiety, trauma, or lack of sexual experience causing automatic muscle tightening.
Solution: Dilator therapy, pelvic physiotherapy, relaxation techniques, and counseling.

6. Hormonal Imbalances (Menopause, PCOS, Postpartum Changes)

Causes: Low estrogen, PCOS, or postpartum changes affecting lubrication and elasticity.
Solution: Hormone therapy, vaginal moisturizers, and lifestyle adjustments.

7. Psychological & Emotional Factors

Causes: Past trauma, stress, anxiety, or relationship concerns.
Solution: Therapy, mindfulness, and open communication with a partner.

Vaginismus is a condition where the vaginal muscles involuntarily contract, making penetration painful or even impossible. This can affect sexual intercourse, gynecological exams, and tampon use. The condition is often linked to psychological factors, anxiety, or past trauma, but it can also have physical causes such as infections or hormonal imbalances. 

Vaginismus is a condition characterized by involuntary contractions of the vaginal muscles, leading to pain and difficulty with vaginal penetration, including sexual intercourse, gynecological exams, and tampon use. Botox, combined with vaginal dilation therapy and psychological counseling, has shown promising results in relieving symptoms.