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These include the entry muscle (bulbocavernosum) and the mid-vaginal muscle (puborectalis).
Spasm of the entry muscle accounts for the common complaint that people often report when trying to have intercourse: "It's like hitting a brick wall".
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This is due to the fact that women may not produce natural lubrication if anxious or in pain.The DSM-IV-TR defines vaginismus as "recurrent or persistent involuntary spasm of the musculature of the outer third of the vagina that interferes with sexual intercourse, causing marked distress or interpersonal difficulty".According to Ward and Ogden's qualitative study on the experience of vaginismus (1994), the three most common contributing factors to vaginismus are fear of painful sex; the belief that sex is wrong or shameful (often the case with people who had a strict religious upbringing); and traumatic early childhood experiences (not necessarily sexual in nature).Those with vaginismus are twice as likely to have a history of childhood sexual interference and held less positive attitudes about their sexuality, whereas no correlation was noted for lack of sexual knowledge or (non-sexual) physical abuse.
Strengthening the muscles that unconsciously tighten during vaginismus may be extremely counter-intuitive for some people.The Lamont classification continues to be used to the present and allows for a common language among researchers and therapists.