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Vaginismus Care Plan

Your body. Your pace. Your healing.

Vaginismus is common, real and treatable — and it is never "all in your head". This plan brings a gynaecologist, a psychologist and a pelvic floor physiotherapist together so the body and the mind heal side by side, without fear, shame or pressure.

GynaecologistPsychologistPelvic Floor Physiotherapist
Book this planSee all 6 sessions
6 sessions
Vaginismus Care Plan illustration
3 specialists
Is this for me?

This plan may help if…

Vaginismus lives where the body and the mind meet — the fear–tension–pain cycle. Treating only the muscles, or only the anxiety, often stalls. Here the two disciplines work in the same room when it matters most.

  • Penetration — with a partner, a tampon or during an examination — is painful or feels impossible
  • You feel fear, panic or your body "shuts down" when you think about intimacy
  • You've been told to "just relax" and it hasn't helped
  • You've been avoiding gynaecological check-ups because of pain or fear
  • You're newly married, planning a family, or simply want to feel at home in your body
  • You'd like to go at your own pace, with people who won't rush you
6-session structure

Your six sessions, step by step

Gynaecologist + Psychologist + Pelvic Floor Physiotherapist — each session builds on the last.

Session 1

Understand

Gynaecologist
  • Detailed history and understanding of the concern
  • Medical/gynaecological examination as appropriate and with consent
  • Rule out contributing medical conditions
  • Explain what vaginismus is and what may be contributing to it
  • Create an individualised care plan

Goal: Understand what's happening without fear or shame.

Session 2

Understand the Mind-Body Connection

Psychologist
  • Explore fear, anxiety and anticipatory pain
  • Identify thoughts and beliefs around penetration/intimacy
  • Understand the fear → tension → pain cycle
  • Psychoeducation around sexual health
  • Begin building safety and control

Goal: Replace fear and confusion with understanding and safety.

Session 3

Meet Your Pelvic Floor

Pelvic Floor Physiotherapist
  • Pelvic floor assessment, where appropriate
  • Understand muscle tension and guarding
  • Breathing and relaxation
  • Body awareness
  • Gentle pelvic floor down-training

Goal: Learn to relax rather than brace.

Session 4

Retraining the Response

PsychologistPhysiotherapist

This is where the two disciplines connect.

  • Managing anxiety during physical exercises
  • Gradual exposure, at the individual's pace
  • Relaxation and breathing strategies
  • Body-awareness exercises
  • Addressing avoidance and fear

Goal: Teach the brain and body that intimacy doesn't have to mean danger.

Session 5

Building Confidence

PhysiotherapistPsychologist
  • Progress with pelvic floor work
  • Individualised progression of exercises
  • Dilator work only when appropriate and clinically advised
  • Managing setbacks
  • Communication and intimacy-related concerns

Goal: Build confidence without rushing the process.

Session 6

Review & Roadmap

GynaecologistPsychologistPhysiotherapist
  • Review progress
  • Identify remaining concerns
  • Reinforce strategies
  • Discuss intimacy/penetration goals, if relevant
  • Create a continuation plan
Narika promise

Your body. Your pace. Your healing.

What you leave with

Understanding

What vaginismus is, what's contributing to it for you, and why it's nothing to be ashamed of.

Tools that work

Breathing, relaxation and body-awareness techniques you can use on your own.

Confidence

Progress at a pace you control — nothing is ever rushed or forced.

A continuation plan

Clear next steps for after the six sessions, whatever your goals are.

Book the Vaginismus Care Plan Call us first

Vaginismus care plan questions

Will I have to have an internal examination?

Only if it's appropriate, and only with your consent. You can say no or stop at any point. Many first sessions are simply a conversation.

Is vaginismus psychological or physical?

Usually both. Fear and anticipation of pain make the pelvic floor muscles tighten, which causes pain, which increases fear. That's why this plan pairs a psychologist with a pelvic floor physiotherapist.

Can my partner be involved?

If you'd like them to be. Communication and intimacy-related concerns are part of Session 5, and your team can suggest how a partner can support you.

Will I be asked to use dilators?

Dilator work is introduced only when it's appropriate and clinically advised — and always at your pace.

Is this confidential?

Yes. What you share stays within your Narika care team.

Other care plans

Gynaecologist + Dietician + Psychologist + Physiotherapist

PCOS Care Plan

Stop making PCOS a battle with yourself. Build a way of eating and moving you can actually live with, and know what to do next.

See this plan Gynaecologist + Psychologist + Physiotherapist + Dietician

Menopause Care Plan

Navigate the whole transition. Know what's happening to your body, eat for strength, build a stronger body, and take care of your mind.

See this plan

Ready to start your vaginismus plan?

Send us a message, call or WhatsApp — we'll explain timings and fees before you commit to anything.

Book this plan
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