Aunt Vadge: inserting a tampon gives me unbearable pain
Can't insert a tampon, and sex is impossible from pain? It's likely vaginismus - not a structural fault but a retrainable reflex. The hopeful, self-directed path.
Aunt Vadge: sex really hurts – why?
First-time sex unbearably painful, won't go in, and the lube burns? Usually it's arousal - but if you're aroused and it still won't, that's vaginismus, and it's treatable.
Aunt Vadge: we’ve tried sex three times and it’s excruciating for her
A guy is wondering how he can prevent sex from being excruciating for his girlfriend. They were both virgins, and she has never masturbated before.
Aunt Vadge: Why did sex work the first time, but was impossible the second?
They had sex once and it went in, but the second time they tried, her vagina had shut up shop and they couldn't get it in. Why?
Aunt Vadge: I’m too scared of pain to have sex
She is afraid of pain when having sex, and it's stopping her and her boyfriend from having sex.
Vaginal dilators and dilation
We discuss the uses of vaginal dilators, including recommendations by experts on how to use dilators. Dilators are used in women whose vaginal canals have shrunk and thickened, or were not large to start with. There are many conditions that benefit from gradual stretching of the vagina.
Aunt Vadge: I’m so tight, I can’t have sex with my new husband – help!
A new wife is having major issues with vaginal tightness. We discuss what she can do to figure out what's wrong and solve the problem.
Aunt Vadge: My vagina is so tight I can’t fit a penis into it
Is she too tight or is there something else going on?
Aunt Vadge: my vagina seems to be too tight – what can I do?
Feeling too tight is usually arousal and tension rather than size – how relaxation and arousal help, and when to seek care.
MRKH syndrome
MRKH syndrome is a congenital abnormality, whereby the uterus, top part of the vagina, and cervix do not exist or are very small. Ovaries are usually normal, since the ovaries run off a different system.
Aunt Vadge: why can’t I go deeper?
Why you might feel too tight to go deep, what's really going on, and gentle ways to make penetration comfortable.
Perineoplasty
The perineoplasty procedure is used to either tighten, loosen or cosmetically augment the perineal area between the anus and the vaginal opening.
Understanding and managing vaginismus
Vaginismus is a treatable condition. Learn about why it happens and what to do about it.

