Vaginismus is a female sexual dysfunction characterized by the involuntary contraction of the pelvic floor muscles, which hinders or prevents vaginal penetration. Despite being relatively common, the condition is still surrounded by taboo, shame, and misinformation, causing many women to suffer in silence. This article discusses the consequences of silence — including emotional impact, low self-esteem, and relationship difficulties — and emphasizes the importance of early diagnosis. Specialized interventions in female sexuality, pelvic physiotherapy, and psychology are essential for effective treatment. Breaking the taboo through information, dialogue, and experience sharing is crucial to promote autonomy, empowerment, and well-being for affected women. Observational studies in Portugal show a high prevalence of female sexual dysfunction, with 74.2% of women evaluated presenting some type of dysfunction, most commonly dyspareunia (57.9%) and vaginismus (34.3%). Despite the high prevalence, only 15.7% sought professional help, and the topic was addressed by family physicians in only 16.3% of cases highlighting the need for greater attention to early diagnosis and professional support.