The Importance of Dilating in the
Botox Treatment Program for Vaginismus
Dilating has been the “cure” for vaginismus for over 100 years and was first described by Dr. Sims in 1861. In our Botox Treatment Program for vaginismus, we emphasize the critical importance of dilation. Our dilation program is unique because progressively larger dilation is started while the patient is under anesthesia after the Botox has been injected. By using vaginal Botox injections and inserting one of the larger dilators under anesthesia, patients obtain fast and dramatic improvement. Waking up with a large dilator often “flips a switch” and the patient suddenly realizes that her anatomy is normal and capable of accepting one of the larger dilators. Because of the local anesthesia injected under anesthesia, there is no discomfort with the dilators when waking up. Vaginismus sufferers who previously could not tolerate being touched and who feel intercourse is like “hitting a wall” are able to self-dilate to the largest dilator within two to three hours after their procedure. They continue to self-dilate the next day even after the long-acting anesthetic has worn off and before the Botox becomes effective. As the Botox relaxes the spastic muscles, the dilation process becomes even easier. For more information on dilating, please read the Dilation Section of our website and also the many dilation blogs that I have written that are devoting to dilating.
Pure Romance Vaginal Dilators
Here is where the Pure Romance Vaginal Dilators come in. The Pure Romance Vaginal Dilators are soft, smooth and flexible. They are available as six tapered, graduated sizes made out of 100% silicone and are used to slowly stretch the vaginal walls, making penetration and transition to intercourse more comfortable.
Plastic vaginal dilators are available on the Internet but many of my patients have indicated that they are stiff and uncomfortable. I find these dilators are not user-friendly and I prefer to use the Pure Romance Vaginal Dilators made from medical grade silicone because they are soft, smooth and flexible. The larger #5 and #6 dilators are made too long and it is for this reason I introduced shorter glass dilators. When using silicone dilators one must use a water or oil based lube and avoid silicone based lubes because “like dissolves like” which alters the structure of silicone dilators.
The Pure Romance Vaginal Dilators come as 6 dilators to a set with the following circumferences:
- # 1 Dilator = 2 inches or 50.8 mm (length = 2.5 inches)
- # 2 Dilator = 2.5 inches or 63.5 mm (length = 3 inches)
- # 3 Dilator = 2.75 inches or 69.85 mm (length = 3.5 inches)
- # 4 Dilator = 3.25 inches or 82.55 mm (length = 4 inches)
- # 5 Dilator = 4 inches or 101.6 mm (length = 5 inches)
- # 6 Dilator = 5 inches or 127 mm (length = 6 inches)
Set of 6 dilators = $89.00 plus shipping
Because the Pure Romance Vaginal Dilators are 100% medical-grade silicone and non-porous, they are easy to clean and disinfect.