Home  ›  Blog  ›  Should you work through vaginismus? A personal decision

Feelings & Mindset

Should you work through vaginismus? A personal decision

There is no ‘should’ here. Only what feels right for your life, your body, your timing.

Vaginismus is a deeply personal condition, and for many women, the question of whether to overcome it is more complex than it seems. Unlike other health concerns that demand immediate action, vaginismus often exists in the background — surfacing only when vaginal penetration becomes relevant. For some women, this means it does not feel like a daily problem. So, is overcoming vaginismus always the right choice?

When Vaginismus Feels Like a Non-Issue

Many women with vaginismus live full, satisfying lives without feeling significantly affected. If vaginal penetration is not a priority — whether for intimacy, medical exams, or future pregnancy — it may not feel urgent to address it.

When the Decision to Overcome Becomes Important

For many women, however, vaginismus is not only a physical barrier — it can also create psychological and emotional strain. Fear of penetration may lead to avoidance, anxiety, or a sense of being “different” or “broken.” Over time, some women reach a point where they no longer want to live with that uncertainty.

A Choice That Is Yours to Make

Deciding to overcome vaginismus is not about meeting expectations — it is about what feels right for you. No woman should feel pressured to “fix” something that does not feel broken to her. At the same time, no woman should feel trapped by fear or avoidance if vaginismus is something she wants to overcome.

If you are unsure, you might begin by asking yourself:

You Are Not Alone

Many women struggle with this decision, and there is no wrong choice. Whether you decide to live with vaginismus or take steps to overcome it, what matters most is that you feel empowered in your decision.

If you are curious about what overcoming vaginismus could look like for you, explore The Vaginismus Zone — a structured, private pathway offering expert guidance and step-by-step support.

Your body. Your choice. Your journey.

Gentle next steps

When you’re ready, two quiet ways to begin

Understanding is the first step. The rest comes from gentle, steady practice — at your own pace, in private, with a companion by your side.

The Vaginismus Book

A gentle, science-based guide to understanding what’s happening and why. “Knowledge removes fear.” In English and German.

The TVZ App

Your private, step-by-step dilator companion. Follow a gentle 9-stage path, log each practice, and build confidence at your own pace. Everything stays on your phone.

Whatever you decide, let it be your choice — made freely, in your own time.
Warmly,
Dr Julia Reeve

Gynaecologist · Psychotherapist · Sexologist · Author of The Vaginismus Book

Dr Julia Reeve
Dr Julia Reeve

Gynaecologist, psychotherapist and sexologist based in Amsterdam, with over thirty years working with women experiencing vaginismus. Author of The Vaginismus Book and creator of the TVZ dilator companion app.

This article is for general information and education. It is not a substitute for individual medical advice. If you have persistent pain or distress, please see a qualified healthcare professional.