Türk Kadınının Kabusu Vajinismus


Vajinismus nedir ve neden oluşur?

 

Vajinismus, vajinanın ön-ilk üçte birlik kısmında cinsel ilişkiye izin vermeyecek biçimde istemsiz kasılmaların oluşmasıdır. Vajina girişini çevreleyen kas tabakası aynı zamanda vajina açıklığını da kontrol ettiğinden, bu kasın istemsiz olarak kasılması, cinsel ilişki sırasında penisin vajinaya girişini tamamen engelleyebilir.

 

Vajinismus primer olarak cinsel hayatın başından itibaren oluşabileceği gibi, bazı durumlarda cinsel hayatın ilerleyen dönemlerde başka sorunlara bağlı olarak sekonder de oluşabilir. Ancak ülkemizde özellikle partnerli cinsel hayatın ilk başından itibaren oluşan primer vajinismus sık görülmektedir. Aile ve sosyal çevreden gelen cinsellikle ilgili kısıtlayıcı ve korkutucu mesajlar, cinsellikle ilgili şehir efsaneleri, cinsel konuların tabu kabul edilmesi ile cinsel bilgisizlik vajinismus probleminin ana nedenleri arasındadır. Kadın ve erkek anatomisini, cinsellik fizyolojisini bilmeyen kişilerde sorun fazlalaşır. İlk ilişkide canının acıyacağını düşünen ve kanama olacağı korkusuyla ilişkiye adım atan kadınlarda, kaygı, korku ve utanma nedeniyle ilişkiye izin vermeyecek ölçüde kasılmalar görülebilir. Bazı durumlarda hasta böyle bir sorun yaşadığına şaşırabilir.

 

Ülkemizde vajinismus, kızlık zarı ve ilk gece korkusu yoğun olarak yaşanıyor. Avrupa Cinsel Sağlık Birliği’ne bağlı, Aile Sağlığı Araştırma Derneği’nin 0212 282 01 01 numaralı ücretsiz ve isim sorulmayan danışma hattına gelen aramalarda ilk gece korkusu ve vajinismus Türk kadınlarının en merak ettiği ve sorun yaşadığı konuları oluşturuyor. Yapılan çeşitli bilimsel araştırmalarda da vajinismusun Türkiye’de en sık rastlanan kadın cinsel sağlık problemi olduğu gösterilmiştir.

Ancak vajinismus da tüm diğer cinsel sorunlar gibi tabu kabul ediliyor. Pek çok hasta ne partneriyle ne de yakınlarıyla sorununu paylaşamıyor. Hatta bu sorunu bir tek kendisinin yaşadığına inanıyor. Sorunun psikolojik olduğu, zamanla geçeceği zannediliyor. Bu durumda doktora başvurmakta da uzun bir zaman geçiyor.

Oysa vajinismus kesinlikle tedavi edilebilir ve tedavi edildiğinde de bir daha tekrarlamayan bir cinsel sağlık sorunudur. Birçok hastada tedavi süreci beklenenden çok daha hızlı gerçekleşmektedir.

Önemli olan vakit kaybetmeden bir uzmana başvurmak ve gerekli tedaviyi almaktır. Böylece cinsel sorunlar büyümeden ve ilişkinizi etkilemeden çözüme kavuşmuş olursunuz.

Vajinismus nasıl tedavi edilir?

 

Vajinismus tedavisindeki ilk adım vakit kaybetmeden bir uzmana veya cinsel konularda uzmanlaşmış bir ekibe başvurulmasıdır. Sorunun kendiliğinden çözüleceğini düşünerek yıllarca beraberlik yaşayamayan birçok çift vardır. Bu nedenle beklemeden, vakit kaybetmeden, partnerinizle/eşinizle birbirinizi suçlamadan bir uzmana başvurmanız büyük önem taşır.

 

Vajinusmus tedavisinde amaç, cinsel ilişkiye giremeyen, ilişkiden korkan ya da cinsel ilişkiyi yaşamış olsa bile acı duyan, kasılmalar yaşayan ve tatmin olamayan kadınlar için cinselliğin tüm safhalarını keyifli hale getirmektir. Cinsel ilişkiyi mekanik bir beraberlik şeklinde hedeflememek gerekir. Duygusal, psikolojik ve fiziksel tatmin yaratacak bir cinsel hayata ulaşmak asıl amacınız olmalıdır.

 

Vajinismus tedavisinde ilk adım cinsel bilgi eksikliğini tamamlamaktır. Sorununuzun neden kaynaklandığını, var olan cinsel korkularınızı, bu sorunun ilişkinizde yarattığı problemleri mutlaka uzmanınızla konuşmalısınız. Tedavide cinsel ilişkiye pozitif bir yaklaşım sağlanması, bilgi eksikliğinin kapatılması ve davranışsal tedaviler ile uyarılmanın öğretilmesi hedeflenir. Her ödevle keyif alan hasta, vücudunu tanımaya başladıkça ve uyarılardan keyif almayı öğrendikçe, sürecin sonunda keyifli bir ilk ilişki deneyimine sahip olur.

 

Vajinismus tedavisi cinsel terapi teknikleri ile süresi kişiden kişiye değişmekle birlikte ortalama 6-10 görüşmede tedavi edilebilmektedir. Tedaviyi takip etme ciddiyeti, terapiden yararlanma miktarı, çiftin arasındaki iletişim seviyesi, ödevlere ayrılan süre ve daha pek çok faktör tedavi sürecini etkileyebilir. Ödev ve hazırlıklarınızı iyi tamamladığınızda bir hafta gibi kısa bir sürede bile önemli aşamalar kaydedebilirsiniz. Aynı zamanda hekiminiz kontrol, bilgilendirme ve eğitim amaçlı bir görsel muayene yapılmasını da isteyebilir.

 

Bunun yanında tüm cinsel sorunlarda çiftlerin birbiriyle iletişim halinde olması en önemli adımdır. Partnerlerin birbirine açık olması, sorunu paylaşmaları, birlikte çözüm aramaları önemlidir. Kendi istek ve arzularını anlatıp, karşısındaki kişinin beklentilerini anlamak cinsel sorunların çözülmesine yardımcı olur.

 

Vajinismus tedavisinde eşlerin katılımı şart mıdır?

 

Vajinismus tedavisinde eğer mümkünse çiftin birlikte değerlendirilmesi ve tedavi sürecini birlikte takip etmeleri çok önemlidir. Sonuçta cinsel sorunlar çiftin ortak problemidir. Vajinismus her iki partnerin de cinselliğini olumsuz olarak etkiler. Eşinizde de bu süreçte sertleşme sorunu, erken boşalma, cinsel isteksizlik gibi erkek cinsel fonksiyon sorunları oluşmuşsa, bu problemlerin de vakit kaybetmeden tedavi sürecine dahil edilmesi gerekir. Ayrıca pek çok erkek eşinde meydana gelen bu sıkıntının nedeni ve tedavisi hakkında bilgi sahibi değildir. Bu durum, eşlerde de özgüven eksikliği, konsantrasyon güçlüğü, kendini suçlama gibi psikolojik etkileşim gelişebilir. Dolayısıyla onların da konu hakkında doğru bilgilere sahip olmaları, merak ettikleri konuları uzmana danışmaları önemlidir. Tedavi sürecinde eşlerin katılımı tedavi başarısını oldukça yükseltmektedir.

 

Ayrıca pek çok erkek -özellikle ilk cinsel ilişki deneyimi olacaksa- kendini ispatlamak zorunda hissedip yoğun bir stres altına girer ve başarılı olup olamayacağı kaygısını yaşar. O güne kadar hiç sertleşme sorunu yaşamamış erkek, tedirginlik hisseder ve başarısızlık korkusuna kapılır. Performans endişesi de denilen bu durum erkekte sertleşme sorununa yol açabilir. İlk cinsel deneyim, sonraki cinsel yaşamda en önemli belirleyici etkenlerden biri olduğundan ilk ilişkisini başarısız yaşamış bir çiftin bu deneyimi bütün cinsel hayatlarına yansır. Tam da bu noktada eşin ve/veya çevrenin olumsuz etkisi, beklentileri karşılayamama hissi öz güvenin yitirilmesine sebep olur ve aylar boyu süren bir sertleşme sorununa zemin hazırlar. Eşin vajinismus sorunu da erkeğin var olan problemini şiddetlendirebilir. Bu durumda da mutlaka vakit kaybetmeden bir uzmanla görüşülmesi şarttır.

 

Vajinismus tedavisine ne zaman başvurmalısınız?

 

Vajinismus sorununda çoğu zaman çiftler yaşadıkları olumsuzları tek başlarına çözme yoluna gidip bir uzmana başvurmazlar. İlk girişimdeki başarısızlıklardan sonra genellikle sorunun geçici olduğunu ve çözüleceğini düşünürler. Oysa bir hafta kadar bekleyip sorunu kendi başınıza çözemiyorsanız vakit kaybetmeden bir uzmana başvurmanız ve profesyonel yardım almanız gerekir.

 

Vajinismus tedavi edilmezse ne olur?

 

Kaliteli ve mutlu cinsellik bir ilişkideki ana mutluluk kaynaklarından biridir. Tüm cinsel problemlerde olduğu gibi vajinismusta da cinsel problemler zamanla ilişki kalitesini düşürür ve çiftin arasında çatışmalara yol açar. İlişki sorunu yaşayan çiftin ise cinsel problemleri de giderek çoğalır. Sonunda çift cinsellikten uzaklaşabilir, aseksüel bir evlilik olarak yıllarca devam edebilir.

 

Bazı durumlarda hasta ve eşleri kendi kendilerine deneme yanılma yöntemiyle öğrendikleri yollarla ilk ilişkiyi gerçekleştirse de çoğu zaman bu vajinismusun çözümü olmamaktadır. Pek çok kadında cinsel kasılma ve ağrı şikayetleri beraberlik yaşansa da devam eder. Bu da zaman içinde kadında cinsel isteksizlik ve cinsellikten kaçınma yaratıp, erkeğin cinsel tatminini düşürebilir. Dolayısıyla cinsel ağrı ve kasılma şikayetlerinde başarıyı sadece cinsel beraberlik olarak değerlendirmemek, her iki taraf için de keyifli ve tatminkar bir cinsellik olarak ele almak şarttır. Cinsel beraberlik yaşanmasına rağmen devam eden vajinismus tipi şikayetlerde de bu nedenle vakit kaybetmeden yardım almak gerekir

 

Vajinismus sorunu için ne gibi önlemler almalısınız?

 

Cinsel eğitim hem ilk ilişkide hem de ilerleyen zamanda mutlu ve kaliteli bir beraberliğe giden yolda ilk adımdır. Evlenmeden önce veya ilk ilişki öncesinde cinsellik konusunda uzmanlaşmış bir uzman ile cinsel hayata dair merak edilen ve endişe duyulan tüm konuların paylaşılması gerekir. İnternet ya da basılı yayına başvurulacaksa, doğru bilimsel verilen ve bilgilerin olduğu kaynakların seçilmesi büyük önem taşır. Yine yakın çevreden alınan bilgilerin de bir bilgi süzgecinden geçirilmesi ve mutlaka şehir efsanelerinden uzak durulması gereklidir. İlk gece korkusu ve balayı empotansı önlenebilir cinsel sağlık sorunlarıdır. Eksik ve kulaktan dolma yanlış bilgilerde cinsel hayatınızı yönlendirmemelisiniz.

 

Vajinismus sonradan oluşabilir mi?

 

Vajinismus bazı enfeksiyonlar, ameliyatlar veya kimyasal maddeler gibi nedenlerle sonradan da gelişebilir. Aşırı heyecan, cinsel uyarılmada problemler, vajinal kayganlıkla ilgili sorunlar, cinsel isteksizlik, ilişki sorunları da vajinismus sebebi olabilir. Bazı hastalar ise cinsellikten keyif alamadıklarını, ilişkiye girebilmelerine rağmen zorlanıp acı hissettiklerini belirtirler. Bu durumda altta yatan hormonal ve anatomik nedenler araştırılarak kadının cinsel dokusunda bir hassasiyet ve ilişkiyi önleyecek lokal bir sebep olup olmadığı incelenir. Hormonal ve organik sebepler ortadan kaldırılınca, başarılı bir terapi süreciyle vajinusmusun tedavi edilebilir bir sağlık sorunu olduğu unutulmamalıdır.

 

Kadın Cinselliği Uzmanı

Dr. Ece Hattat

 

97 Yanıt

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    wordpress.orgif you are serious about your online business then investing in a blogging platform like this will pay off in the long run. in this article i want to clear up some of the myths about blogs and explain the best

  63. numbers is quality and relevance. in other

    words, you wrote a good blog post and you posted it to the right site where people will enjoy it. if you can do that, your post will be a success.i don’t bother checking pr or alexa rankings. i just use

  64. then you must hope to make a

    mark this year. 2011 witnessed a lot of bloggers failing and a lot of bloggers go on the top from the bottom. what were the differences between those two? who can be a successful blogger?in this post, i am going to

  65. you think that this is going to

    take too much of your time, don’t worry. you can hire a blog writing service that can help you create quality articles to use on your business blog.blog writing services can help you reach your audience with carefully written posts and

  66. just how important it is to backup

    your website in case your computer crashes or you accidentally mess up your website.if your theme needs extra basic featuresif you like your theme but it is missing some basic elements — like menus etc, these plugins might help (remember these

  67. nice way to earn extra money hosting

    ads on a website you already maintain anyway. adsense pays you for visitor clicks to the advertised products and/or services.advertisers pay for the added exposure they receive from google, and you get a portion of that revenue by directing bloggers to…

  68. even turned into a full-time business if

    that is your goal.1. blog writer. millions of blogs need to have content added to them at this moment.in the past twelve months google has made numerous adjustments to their algorithms that have hurt blogs that do not contain fresh content.

  69. what i wrote. when you start to

    write articles on your blog, you have to follow these instructions:- make your content easy to read- make a list with the most important keywords that your article should have- use headings as much as you can- highlight some important words-

  70. is key.passion and an interest in a

    subject are ideal when choosing what to write about. if you are writing a blog for pleasure, just going with that passion works well. if you are writing in hopes of building an income, then it becomes a bit trickier. you

  71. to work and so, you cannot expect

    instant results. but you must create the content by keeping keywords in mind; so that you can get the momentum on the search results page as soon as possible. bloggers should also make sure; that their blog supports all the features,

  72. higher chance of being clicked on by

    the user doing the searches.if you have not yet begun your search for a good seo article service to write content for your website, or if you not happy with your current seo article service, then here are some helpful suggestions

  73. point. you closing paragraph should reiterate the

    main points of the post as well as some sort of call to action for your readers. whether this is an invitation to leave a comment or ending with a question you are providing an urge to do “something” to your

  74. side which says ‘appearance’, under which you’ll

    find a tab saying ‘add new theme’. you must click on that button. you will find the button ‘upload’ on the top by clicking on it you’ll be able to browse for the free wordpress theme saved in your computer. select

  75. key question really rests with you. who

    do you want to be your client?here’s a few basic steps to get your writing business off the ground: examine your skill set and the type of writing you prefer to do (e.g., website copy, speech writing, how-to e-books, marketing copy

  76. involves the business or the brand. keeping

    the personal element ensures that there is more to the post than just product promotion – and frankly reading product promotional material is not really that entertaining.aim to maintain a consistent presence on your blog – it will keep you readership

  77. more than one site, so to blog

    on all would be impossible, and extremely time consuming. your efforts may be better served elsewhere while your professional bloggers keep the content side of things up to date with fresh quality articles.in all five cases, your site is growing. it

  78. it could cost you a passing grade

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  79. client you are encouraged to closely inspect

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  80. contain more than 3 or 4 phrases.

    one ideea, one paragraph, because having paragraphs with many phrases will make the text unreadable.before writing anything on your blog, you should know that using lines, or bullet points instead of paragraphs when you mention things like specificatio…

  81. prefer adam sandler or steve martin, and

    others will find all of these people funny. be sure to think about your intended audience and try not to alienate anyone with your humor. for the beginning humor writer, avoiding religion, gender, race, and politics might be the best way

  82. you can make it, and don’t forget

    to proofread it multiple times. good luck! there is the perennial question of how to get blog traffic on a consistent basis yet the simple answer is one that many do not want to face up to. there are many new

  83. the blueprint and the dedicated implementation it

    would entail, it may not bear huge positive results. therefore, the said plan would just result into a waste of money and energy, a loss on your part instead.a marketing campaign plan should not just be valuable because of correct strategy;

  84. feeds. together we will turn the tide

    on the niche marketer and get our readers back! really great blogs have the best articles, the best content, the best answers to the questions that we’re all looking for, so what’s missing from your blog’s life? we, the readers! instead

  85. is to guest post on other blogs

    and get a name in your niche. e-mail a bunch of blog owners in your niche and ask them if they are interested in having a guest post from you. if they e-mail you back then they are most likely interested.

  86. your intended customers. when you make blogs

    for your business, make sure that you select wordpress blog templates because this platform is undeniably easy to use and seo-friendly.making your business blogs has to be professionally done. but you see, hiring a website designer or developer is cost…

  87. unique thoughts, write them down in your

    articles. you will get crisp and well written articles. this is going to be an awesome habit for a professional writer.4. carry a spiral diary with you all the time. if you come up with a new idea write it down

  88. mlm, which means multi-level marketing.there is a

    high traffic blog about network marketing and how it is linked to a companies’ website which offers a wealth of information on how to succeed in this form of business. most of these blogs write about topics that are relevant and

  89. accurately and ethically represents his or her

    knowledge, opinions and professional voice.a ghost helps lawyers select topics and venues. a professional writer keeps up with legal news and can help you choose (or fine-tune) a topic so that it will catch the attention of print and electronic publish…

  90. if your name doesn’t represent a brand,

    or if you’re a celebrity, then go ahead. what you need is a name that will instantly get recognized, or at the very least, get stuck in their memory. when you pique their interest with your blog name, they will most

  91. attention organize your thoughts into relevant points

    and then focus on one point at a time. one thing that is imperative to the success of your blog is giving authentic information on your site. you have to make sure that every piece of information that you put on

  92. to drafting the plan, you must have

    a clear grasp of your objectives, which are essentially your subjective wishes based on actual conditions of the market.therefore, it is imperative that you first study the market well and identify the particular sector which you are targeting for the…

  93. arguments. this gives more room for each

    thought, making it is easier for the reader to notice and remember the main ideas in your writings.5. don’t try to get things too perfect – allow your skills to grow. you don’t have to be a perfect writer already, in

  94. cafe, relaxing as you sip your coffee

    and think of the proper sentence to type. that rosy picture is only accurate up to a point, however. online writing may have its perks, but it also has its pitfalls.the pitfalls of online writingthe good news is that it is

  95. company wants to provide the vendors with

    information quickly.ii) create a link around anywhere in the body of the blog. link your blog to the company website while fixing the aim of blog. but, how do you know if your blog matches with the site design? the answer

  96. your feelings are even more so. because

    feelings once put into words can either be sublime influencers of others (good), or bludgeons that harm others (bad). in the heat of emotion, how often do words escape our lips, which the instant spoken cannot be retracted, no matter how

  97. profilingas an alternative to the above two

    styles, it’s just a profile. pick someone in your niche and write about them, all you got to do is make a summary and let the world know what they are doing in your niche. you can tell everyone how that

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