Author Archives: Dr. Pacik
Misdiagnosis of Sexual Pain
A series of posts on the vaginismusMD.com Forum indicate that women were often misdiagnosed with vulvodynia for their sexual pain as follows: “Hi ladies. There have been several posts of late on the need to educate physicians and clinicians concerning the condition of … Continue reading
Finding a Clinic for Botox Injections
This following exchange appeared on one of the vaginismus website forums. Question: “Some days back, I came to know that I have vaginismus. I am willing to treat it with Botox. But my gyn is hesitant in applying botox. She … Continue reading
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
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
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
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
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
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
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
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