Monthly Archives: January 2012

Leg lock after treated vaginismus

Day 42: “Attempted intercourse again after dilating with pink for 30 minutes and blue for 30 minutes. We were able to have some penetration in a few different positions, but I was still so tense/uncomfortable. I couldn’t seem to relax … Continue reading

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Falling off the Wagon

Botox program for Vaginismus The Botox and dilation program is highly effective as a treatment for vaginismus and patients are likely to continue having pain free intercourse without having to return for more Botox. It does take dedication and perseverance … 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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Dilators for vaginismus: The Home Stretch

It may take two to three months to adequately stretch tight vaginal muscles, but perseverance pays off. Some of my patients report working with dilators for 7-10 years but they were either not instructed in the proper use of dilators, or their schedule was “on again, off again”. Once the larger dilators are comfortable, transition to intercourse is physically easy but emotionally difficult. Continue reading

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