E-Book: The Vaginismus Self-Assessment Guide

Feb 27, 2025

๐ŸŒŸ Begin Your Journey to Awareness – Could It Be Vaginismus?
๐Ÿ” Understand Your Body, Recognize the Signs, ๐Ÿš€ Take Control

Do you experience discomfort or anxiety during intimate moments and suspect that vaginismus might be the reason? The Vaginismus Self-Assessment Guide is your essential starting point for illuminating this often misunderstood condition.

Written by Dr. Julia Reeve, a distinguished gynecologist, psychotherapist, and sexologist, this guide provides you with precise, expert-validated information. This resource is designed to help you evaluate your symptoms, understand your condition thoroughly, and empower you with the confidence to take informed steps forward.

๐ŸŒฟ The Vaginismus Self-Assessment Guide: Finally Understand What’s Going On “Down There”

For many women, the words just won’t come.

They say things like:

  • “It’s like hitting a wall.”

  • “My body just shuts down.”

  • “I want to be close… but it feels impossible.”

  • “Is this vaginismus? Or is something wrong with me?”

If you’ve been silently asking yourself these questions, I want you to know — you are not alone. And you are not broken.

I’m Dr. Julia Reeve, a gynaecologist, psychotherapist, and sexologist. Over the past 30 years, I’ve helped thousands of women understand and overcome a condition that far too many have never even heard of: vaginismus.

In this blog, I want to walk you through why I created the e-book, The Vaginismus Self-Assessment Guide, how it can help you safely and privately explore what might be happening in your body, and how this can be your first step toward reclaiming your intimate life.


๐Ÿง  What Is Vaginismus, Really?

Vaginismus is a condition where the muscles around the vagina tighten involuntarily — often in response to fear, trauma, or even unconscious anticipation of pain. This tightening can make penetration — whether with a tampon, finger, medical instrument, or during intimacy — painful or even impossible.

But vaginismus is much more than “tight muscles.” It’s a deeply rooted fear response, often stored in the body even if your mind says, “I want this.”

It can show up in many forms:

  • Feeling panic before intimacy

  • Not being able to insert a tampon

  • Burning, stinging, or pressure “down there”

  • Avoiding gynae exams or smear tests

  • Feeling like your body is saying “no” even when you’re saying “yes”

What makes vaginismus so complex — and often misdiagnosed — is that it isn’t caused by visible injury or infection. The body looks normal on exam. And yet the pain is real.


๐Ÿ“˜ Why I Created the Vaginismus Self-Assessment Guide

So many women have told me:

“I thought I was the only one.”

“I went to five doctors before someone even mentioned vaginismus.”

“I cried for years thinking I’d never be able to have sex, get pregnant, or feel normal.”

This is why I created the Self-Assessment Guide — to offer a private, empowering way for you to begin identifying your symptoms, exploring your story, and — perhaps for the first time — putting a name to what you’ve been feeling.

This e-book is not a diagnosis. It is a starting point. A mirror. A torch in the dark.


๐ŸŒบ What You’ll Find Inside the E-Book

When you download The Vaginismus Self-Assessment Guide, you’re getting more than a checklist.

You’re getting:

โœ”๏ธ A compassionate explanation of vaginismus

So you finally understand what’s going on in your body — without shame, confusion, or jargon.

โœ”๏ธ The 5 grades of vaginismus

Yes, vaginismus can be mild, moderate, or severe. My guide walks you through the difference, so you can locate yourself practically.

โœ”๏ธ Self-check exercises

Gentle, non-invasive prompts that help you notice what your body is trying to tell you. These are fully clothed, trauma-informed reflections — no mirror or insertion required.

โœ”๏ธ Real quotes from real women

You’ll see your story reflected in the words of others who have been where you are now. And made it through.

โœ”๏ธ What to do next

Depending on your score and your experience, you’ll receive clear next steps: whether it’s reading further, seeking treatment, or joining an anonymous support space.


๐Ÿ” How Do I Know If I Have Vaginismus?

Let’s clarify a few of the common signs that your body may be responding with a vaginismus pattern:

  • You feel panic, fear, or shame around intimacy or gynaecological exams

  • You have never been able to insert a tampon or complete penetration

  • You avoid dating or relationships because of fear of “being found out”

  • You’ve been told “everything looks normal” but sex still feels impossible

  • You experience a burning or tearing feeling during attempted entry

  • You freeze, dissociate, or even cry when intimacy begins

These are more than “bad experiences” — they are nervous system responses. And when we address the body’s fear system gently, the change can be profound.

You are not imagining it.
You are not overreacting.
And you are not alone.


๐Ÿงฌ Why Is It So Hard to Get a Diagnosis?

Here’s the frustrating truth: vaginismus is rarely taught in medical school.

Many professionals don’t recognize it. Or they confuse it with:

  • Vulvodynia: pain on the vulva itself, often burning or raw

  • Endometriosis: internal pelvic pain that flares during cycles

  • Hymenal obstruction: a rare anatomical condition

  • Infections: thrush or bacterial vaginosis (BV), which can cause pain or irritation

  • Psychosomatic disorders: implying the pain is “just in your head”

The result? Many women are told they’re “fine” — when clearly they are not.

That’s why self-assessment matters. It helps you become an informed advocate for your body. So even if your doctor doesn’t bring up vaginismus, you can.


๐ŸŒฑ Vaginismus Is Not About Willpower or Experience

Many women tell me:

“Maybe I just need to relax.”

“Maybe it will go away when I meet the right person.”

“Maybe if I had sex once, it would ‘unlock’ everything.”

Let me be clear: vaginismus is not about lack of desire, or technique, or needing to “try harder.” It’s not fixed by wine or candles or stretching.

Vaginismus is your body’s protective reflex, like blinking or pulling your hand away from a hot stove. It happens below the level of conscious control.

And that’s good news.

Because just like the brain can learn to fear… it can learn to feel safe again. This is where my method — based on graded desensitization and neuroplasticity — comes in.


๐Ÿง˜๐Ÿฝ‍โ™€๏ธ From Fear to Freedom: The Role of Neuroplasticity

Neuroplasticity is your brain’s ability to rewire itself — to learn new associations, new responses, and new levels of calm.

In vaginismus, the brain has paired intimacy or insertion with pain, fear, or danger. This pairing happens automatically, often due to:

  • A first painful attempt at sex

  • Messages of shame or guilt around the body

  • A medical trauma or accident

  • No clear cause — just a learned response that “sticks”

But here’s the hope:

That same brain can learn a new story.

Through consistent, gentle exposure in a safe, private environment, your nervous system can begin to unlearn the fear loop and build trust and control.

My coaching method — and the self-assessment — is built on this foundation.


๐Ÿงฉ But What If It’s Not Vaginismus?

That’s a fair and important question.

There are other conditions that can cause pain, burning, or inability to have sex. A few to consider:

Condition Symptoms
Vulvodynia Burning or stinging at the entrance or labia, especially when touched
Lichen Sclerosus White patches, thinning skin, itching
Endometriosis Deep pain during sex, heavy periods, fatigue
Hymenal abnormalities Rare congenital tissue issues; can be seen on examination
Thrush or BV Itching, unusual discharge, strong odor, inflammation

That’s why a gentle, body-aware self-assessment is helpful — not to replace diagnosis, but to offer clarity and next steps.

If you’re unsure, the guide includes suggestions for what to ask a doctor, what terms to use, and how to avoid dismissal.


๐Ÿ’ก What Happens After I Download the e-book?

From there, I recommend you:

  1. Read it privately and gently — no pressure, no rush.

  2. Do the self-assessment — only if and when you feel safe.

  3. Write down what you notice — physically, emotionally, cognitively.

  4. Decide what you want next — you’ll find options in the guide, including how to:

  • Continue learning on your own

  • Get support anonymously in The Vaginismus Zone

  • Explore my online coaching program

  • Talk to a professional with confidence

You are in control. You decide the pace.


๐Ÿ“ฅ Why You Deserve This Step

It takes courage to even read this far. To download something that has the word “vaginismus” in it. To admit to yourself: I want change.

But you do deserve better than guessing, Googling, and blaming yourself.

This guide is yours. Use it as often as you need to. Share it with someone you trust. Reread the words on hard days.

It’s not just a PDF. It’s the beginning of reclaiming your relationship with your body — on your own terms.


๐Ÿ’ฌ What Other Women Are Saying

“I thought I was just frigid. I didn’t know my body was protecting me.”

“Reading the guide made me cry. For the first time, I didn’t feel crazy.”

“Now I know I’m not the only one. And that changed everything.”


๐ŸŒ Ready to Begin?

Your journey starts with knowledge. Your healing starts with clarity.

And you don’t have to do it alone.

With warmth,
Dr. Julia Reeve
Gynaecologist • Psychotherapist • Sexologist
Creator of The Vaginismus Zone