Extensive post procedure counseling and dilator instructions are needed after treating vaginismus with Botox under anesthesia. The physical spasm responds well to Botox and progressive dilation under anesthesia. The psychologic distress, fear and anxiety to penetration require psychologic support to overcome this aspect of vaginismus. The question that comes up frequently about post procedure dilation is “How much privacy is there during this phase of recovery?”
Post Procedure Dilation is always done in privacy
Dilation is always done in privacy with the curtains drawn. After advancing with the dilators, the curtains are opened with permission from the patients to involve everyone with the post procedure counseling. This is highlighted in a series of posts on the VaginismusMD Forum
In a May 8, 2013 post on page 2 of this series of posts GoldDahlia writes:
“We are all in the same recovery room together after the procedure, but there are hospital privacy curtains that wrap all the way around each bed when we’re practicing inserting the dilators. I expected some awkwardness, but it wasn’t! All of the women in the room are going through the same thing, and my husband was so focused on what I was doing that he didn’t feel strange either. Once we all reached a certain point and were ready to hang out with the dilators in place for a while, we pulled up our blankets/clothes and opened the curtains to talk together while Dr. Pacik did his counseling (he asks beforehand if you’re comfortable with this).”
Since 2005 with more than 200 patients treated this way, it is a system that works. Patients gain many insights from having an opportunity to openly discuss the many aspects of vaginismus with other women, and the men gain equally well. Often email addresses are exchanged and the women continue they’re bonding well after returning home.
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