Author Archives: Dr. Pacik

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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.

Vaginismus: Spastic Muscles

Patients often don’t understand the concept of vaginal spastic muscles and are also confused why the spasm does not return after the Botox wears off. “Hitting a brick wall” In filling out their questionnaires, a surprisingly large number of patients … Continue reading

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Publications

Dr. Pacik’s publications dealing with vaginismus are now available on the website by linking to Resources. Important data continues to be collected and published. Botox treatment for vaginismus combined with progressive dilation under anesthesia and post procedure counseling is still … Continue reading

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Is a Healthy Sex Life Possible after Vaginismus treatment?

I have learned a great deal from my patients. Every time I need to explain something it causes me to pause and ask myself how many others know the answer to this. I have been in touch with a patient … Continue reading

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Vaginismus and Anxiety

How does treatment with Botox help anxiety in vaginismus patients? Most of my blogs are the direct result of conversations with patients. Today, in a Skype interview a prospective patient asked how treatment of her vaginismus with the Botox program … 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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Great Sex after Vaginismus Treatment

The goal of not only achieving intercourse, but having a wonderful sexual relationship is a difficult journey for most vaginismus patients. Painful sex is a drag, no sex is even worse. Most of my patients who are treated with the … Continue reading

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Vaginismus, Pregnancy and Misconceptions

There appears to be a widespread misconception among health care professionals, including gynecologists that goes something like this: “Honey, just get pregnant, deliver your baby, and your vaginismus will disappear”. Wrong! I have heard this so many times. It does … Continue reading

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Bleeding after Botox treatment for vaginismus

It is common for patients to notice a small amount of bleeding after being treated with Botox injections and progressive dilation for vaginismus under anesthesia. This is frequently a major concern for patients especially when it occurs during the first … Continue reading

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Internet Counseling for Vaginismus

There are many women from around the world that are unable to travel for treatment of vaginismus. Sometimes it is possible to counsel women with vaginismus via the internet. The use of dilators without Botox injections is commonly used in … Continue reading

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Lubrication Sensitivity

Written by E.L.R. a patient who struggled with vaginismus for 24 years. I have been using lubricants for the past 24 years with any attempted penetration experience, either sexual or even using a tampon. I have found that over the … Continue reading

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