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For masturbation month we interviewed some amazing sexologists regarding their thoughts on masturbation, advice, and what effective sex education means to them.
This time we interviewed Leisa Puentes, who talked with us about vaginismus and premature ejaculation.
Interviews were conducted in Spanish and translated and edited for clarity.
SVAKOM: What is vaginismus?
Puentes: It is a condition in which, mainly for psychological reasons, the pelvic floor and paravaginal muscles contract and tighten, to the point of not allowing the vaginal insertion of any element. No fingers, penises, toys, etc.
SVAKOM: Who can suffer from vaginismus?
Puentes: Obviously, anybody with a vagina.
SVAKOM: What are the symptoms?
Puentes: Mainly pain, burning or tension, before or during the entrance of the penis or another element to the vagina.
SVAKOM: What are the causes?
Puentes: From my experience I have found the following to be causes of vaginismus:
* Having had a traumatic sexual experience such as sexual abuse
* Having encountered a rough partner that caused pain during intercourse.
* Some psychological condition that produces an aversion to sexuality.
* Dyspareunia which is pain during intercourse
* Fear of pregnancy
* Fears related to body shape or weight.
SVAKOM: What can you do if you have vaginismus?
Puentes: First, it is necessary to identify that pain is never normal in a relationship. This should be enjoyed from start to finish. Second, seek gynecological help to establish the diagnosis. Third, take action and follow professional advice.
SVAKOM: How can you improve or “cure” vaginismus?
Puentes: This requires comprehensive and consistent work with a psychologist-sexologist to unblock what psychically produces fear and resistance towards the act of insertion. You also need physiotherapy to re-educate the pelvic floor muscles. It works in several sessions with the two specialties implementing the use of sexual devices for some exercises, (in my case I prescribe the Cici but at a specific point in the treatment)
SVAKOM: How can a partner help?
Puentes: For a partner to participating in helping to alleviate the problems brought on by vaginismus, they need an understanding of the problem, so they can help to relieve pressure and provide support during the process, helping to achieve progress.
SVAKOM: Can you overcome vaginismus?
Puentes: Definitely yes.
SVAKOM: Can you explain what exactly Premature Ejaculation is?
Puentes: It is the persistent lack of voluntary control over the emission of ejaculate.
How much time should pass before ejaculation? Today a standard time is not established, since each person will establish the ideal time for her, obviously considering that the regular time of a sexual relationship is from 8 to 12 minutes.
It could be said that there is lack of control even from before penetration until around 2 - 3 minutes
SVAKOM: What are the causes of Premature Ejaculation?
Puentes: From 90% to 95% the causes are psychological and based on anxiety, fear and self-doubt or not meeting expectations. There are also studies associated with excessive masturbation and excessive consumption of pornography.
Having an episode where it happens once can lead to fear of it happening again, which reinforces the anxiety felt.
Also, a physical cause can be hypersensitivity in the glans.
SVAKOM: Are there different types of Premature Ejaculation?
Puentes: Yes. Primary Premature Ejaculation is when it occurs since the first sexual intercourse
Secondary is when it appears at any point during a person’s sexual life.
Situational is when it occurs with a partner but not in masturbation.
SVAKOM: What problems can arise from Premature Ejaculation?
Puentes: The long-lasting effects of Premature Ejaculation tend to focus on psychological issues such as Low self-esteem and actively seeking isolation/avoiding bonds. Then, it can also cause sexual anxiety as well as problems in a relationship.
SVAKOM: Is there a solution for people who deal with Premature Ejaculation?
Puentes: Yes. If the cause stems from a psychological origin, it can be treated with psychotherapy by a psychologist/sexologist.
It can be treated with or without a partner, but it must be said that when you have the help of your partner, it is an added value to the process.
With my patients who do not have a partner, I prescribe a sexual device as a therapeutic element in the process.
An important piece of advice is: Do you think you suffer from it? Don't let it become chronic and affect your sex life or your relationship with your partner.
You can check out Puentes’ Instagram here