Sleeping with Dilators

Vaginal Dilator SetI 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?”

A patient with severe vaginismus for 22 years writes on day 8 after her
Botox treatment for vaginismus

“Tonight I dilated for two hours. Pink (#5/6) & blue (#6/6) inserted easily and the nerves have subsided a bit. Still seems surreal that I’m able to do all this. I also made an appointment with my GYN today. So should I begin to sleep with pink?”

Though some patients can sleep easily with the pink (#5/6 Pure Romance dilator) I have found that sleeping with larger than the medium sized purple (#4/6) is not necessary. Some of my patients do sleep with larger dilators and this is not harmful.

The best time to dilate to the next larger size is in the morning after removing the overnight dilator. The muscles have stretched all night, and dilation to the next larger size is more comfortable.

“Last night I dilated for two hours with pink & blue. I was ready use my new and improved vagina again but he was comatose. I guess I will need to start a little earlier in the evening from now on. I went to sleep after multiple attempts to wake him up with purple inserted.”

 On day 33 she writes

“Last night I dilated with pink for one hour earlier in the day and pink and blue 30 min each before bed. Both inserted easily. I feel asleep with pink inserted so I would be ready for him when he got home; however, he was exhausted and wasn’t cooperating. Boy the tables have turned!!!! LOL!

Have a wonderful day! Tabia”

Click here to read her personal journey.

If you have any questions about our Botox treatment for vaginismus and progressive dilation under anesthesia, please contact us via our contact us form.

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About Dr. Pacik

Peter Pacik, MD, FACS is a recognized pioneer in treating patients with Botox for vaginismus and the author of When Sex Seems Impossible: Stories of Vaginismus and How You Can Achieve Intimacy. He has been in practice for over thirty years and belongs to a small group of prestigious surgeons who are double board certified by both the American Board of Surgery and the American Board of Plastic Surgery. In 2010, Dr. Pacik received FDA approval to continue his study to treat vaginismus using intravaginal injections of Botox together with progressive dilation under anesthesia.
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