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Vaginismus Recurrent or persistent involuntary spasm of the musculature of the outer third of the vagina that interferes with sexual intercourse.It may be mild , moderate, severe. In some vaginismus occurs sexual activity but not during gynecological examinations.Husband may become impotent being persistently unsuccessful in penetration. Relaxation therapy: Insertion of graduated sizes of dilators by the doctor, the female or the male partner is effective in reversing the conditioned spasm reaction. Note: No increase in size of the dilators should be made until the minimum size can be accommodated comfortably. The object of treatment is not dilatation but reversal of the conditioned reflex. Lax Vagina Usually follows child birth. Exercises advice are contraction of perineal muscles by holding the urine or a few second and releasing it, 20 such contractions and relaxations 3 times a day or vaginoplasty.