Category Archives: Dilators

Dilation and Keeping a Daily Log after your Botox Treatment for Vaginismus

Previous Penetration is like “Hitting a Wall” – Waking Up with a Dilator “Flips a Switch!” For most of my treated vaginismus patients, waking up from anesthesia with a large dilator in place is monumental. A lot of my patients … Continue reading

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Why is Dilation Under Anesthesia So Important

Time and time again, our patients come to us with an extreme fear of dilation. They almost all have purchased dilators from various sources to try the “dilation method” on their own. After purchasing, some of them cannot even open … Continue reading

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Well Endowed

Vaginismus and Dilators. What to do When Your Man is Well Endowed Dilators for vaginismus Any dilator set has graduated dilators from small to large. In the Pure Romance set most partners indicate that their erection is between the Pink … Continue reading

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Continued Anxiety with Dilation

Erika is 27 with a 2-year history of the most severe form of vaginismus. She cannot tolerate any penetration and has severe pain and anxiety with any attempt. Her daily logs are quite helpful showing continued anxiety to dilators despite … Continue reading

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Vaginismus: Dilator Regression

The first hint of recurrent pain after Botox treatment for vaginismus is an inadequate dilation schedule Every so often patients contact me in a panic that their dilation schedule is not going well. They usually indicate that there is recurrent … Continue reading

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Dilators for Vaginismus. Discomfort of Dilation

Early in the process dilation may be uncomfortable and create soreness. Sometimes it starts off being comfortable and then it is hard to find a position that allows for pain free insertion. This may cause distress (because the dilation was … Continue reading

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Dilators for Vaginismus. Single and Dilator Struggles

This single 31 year old doctor struggled with vaginismus for 15 years. She used dilators with Kegel exercises for 6 months but was unable to progress. In addition she had six months of psychotherapy, used lubricants all the time and … Continue reading

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Dilators for Vaginismus. Discomfort with Large Dilators and Beyond

Brief history: Danielle is a 27 year old with a five year history of Pacik/Lamont , the most severe form of vaginismus. Though she has had some penetration, intercourse has always been impossible. Numerous treatments included Kegels and dilators for … Continue reading

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Dilators for Vaginismus. Resistance

Melissa, a 22 year old with an eight year history of vaginismus, She has been unable to have intercourse for two years and has tried numerous treatments without benefit. She was treated with the Botox program for vaginismus which included Botox injections, injections of a long acting anesthetic, and progressive dilation, all under anesthesia. She was able to achieve full pain free intercourse at four days and continues to do well, now six months later. Continue reading

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Sleeping with Dilators

I ask my patients to sleep every second night with the Pure Romance #4 of 6 purple dilator. This helps give passive stretch to the tight vaginal muscles during sleep and makes it easy to advance to the next size during the morning dilation. A common question is “Should I be sleeping with larger dilators?” Continue reading

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