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Anxiolytics and antidepressants are other pharmacotherapies that have been offered to patients in conjunction with other psychotherapy modalities, or if these patients experience high levels of anxiety from their condition.True epidemiological studies of vaginismus have not been done, as diagnosis would require painful examinations that such women would most likely avoid.Pacik expanded the Lamont classification to include a fifth degree in which the patient experiences a visceral reaction such as sweating, hyperventilation, palpitations, trembling, shaking, nausea, vomiting, losing consciousness, wanting to jump off the table, or attacking the doctor.The Lamont classification continues to be used to the present and allows for a common language among researchers and therapists.A woman may be unaware of the reasons for her condition. Lamont describes four degrees of vaginismus: In first degree vaginismus, the patient has spasm of the pelvic floor that can be relieved with reassurance.In second degree, the spasm is present but maintained throughout the pelvis even with reassurance.The severity of vaginismus, as well as the pain during penetration (including sexual penetration), varies from woman to woman.

This is due to the fact that women may not produce natural lubrication if anxious or in pain.

In third degree, the patient elevates the buttocks to avoid being examined.

In fourth degree vaginismus (also known as grade 4 vaginismus), the most severe form of vaginismus, the patient elevates the buttocks, retreats and tightly closes the thighs to avoid examination.

Data available is primarily reported statistics from clinical settings.

A study of vaginismus in people in Morocco and Sweden found a prevalence of 6%.

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