Category Archives: Dilation
Dilation After a Break Part II
Discontinuing and Resuming the Dilation Regimen after Botox Treatment for Vaginismus Women are very committed to a dilation regimen after their Botox treatment for vaginismus. However, there are many reasons that women stop dilating for a period of time and … Continue reading
Dilator Advancement, Getting Unstuck
Most of the patients that we treat for vaginismus have a very severe form of vaginismus (Lamont grade 3,4; Pacik grade 5 — the most severe form) that have spent years trying different forms of conservative therapy and have failed … Continue reading
Success with Dilation Only: Patient from Australia
While it is always best to have an in-person exam and treatment, I do sometimes counsel via email and skype if I feel that the woman is a good candidate for the dilation only treatment. The following patient who was … Continue reading
Transitioning to intercourse: Communication and Control
When the moment arrives Control issues are so important when attempting to transition from dilators to intercourse. This is an overwhelming moment for most vaginismus patients, a moment in time that is feared. For the vaginismus sufferer, it is monumental … Continue reading
Transitioning to Intercourse – Stories from our patients
Transitioning from dilators to intercourse can be monumental for many patients when still in the early stages of overcoming their anxiety to penile penetration, despite heroic progress with dilators. There are difficulties finding the “right position”, finding where the vagina … Continue reading
What Happens When the Botox Wears Off?
A patient recently wrote that intercourse was going well three months after her treatment but was nervous about what would happen when the Botox effect was gone. On top of this she was graduating and leaving to go home to … Continue reading
Olive Oil. Not just for cooking
Lubrication for vaginismus Lubrications are always a big topic for vaginismus patients. Most women use water-soluble lubes, and it is a good idea to check what the different companies have to offer on the Internet. Water-soluble lubes tend to absorb … Continue reading
Recurrent Sexual Pain after Botox Treatment of Vaginismus
Every so often a patient regresses and complains once again of sexual pain after Botox treatment for vaginismus. This can be due to many factors, the most common of which is inadequate dilation. Just picking up the dilators and getting … Continue reading