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Penis captivus describes a supposed event that occurs in rare instances during heterosexual intercourse when the muscles in the vagina clamp down on the penis much more firmly than usual (a form of vaginismus), making it impossible for the penis to withdraw from the vagina. There is only one known report of penis captivus, in a letter to the British Medical Journal relating to an apparent case in 1947. According to the BMJ, this condition was otherwise unknown in the twentieth century. Penis captivus should not be confused with the relatively common condition vaginismus, though a relation between the supposed event of penis captivus and the occurrence of vaginismus is assumed in the existing descriptions.