“The number of marriages which are legally annulled must be very small,” Joan Malleson wrote in 1942, “compared with the number of marriages which are not in fact actually consummated” (Malleson, 1942). Malleson argues discusses in great detail the muscles related to the uncomfortable spasms that women with Vaginismus experience. She strangely notes that, while these spasms are involuntary, voluntary efforts to control the muscles are not that difficult. Malleson views the condition as a physical one first, leading to increasing frustration which in turn must be treated. Malleson writes: “The entire syndrome must, of course, be accepted as psychogenic. Often these women display additional neurotic symptoms, and after marriage many of them develop