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Vaginismus is a condition in which involuntary muscle spasm prevents vaginal penetration. The underlying cause is generally a fear that penetration will hurt. Treatment may include behavior therapy such as graduated exposure therapy and gradual vaginal dilatation. Severity and pain during vaginal penetration varies.

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Almost no vagina is too tight for intercourse.

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Back to Health A to Z. Vaginismus is when the vagina suddenly tightens up just as you try to insert something into it. It can be painful and distressing, but it can be treated. Vaginismus is the body's automatic reaction to the fear of some or all types of vaginal penetration.

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