Author Archives: Dr. Pacik
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
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
Dilators for Vaginismus. Getting started
Getting started with dilators for vaginismus is actually fairly simple if one self assesses the severity of their vaginismus. If a woman is able to tolerate some penetration, there is a good chance she can advance with dilators and achieve intercourse. There are a number of companies that sell dilators. I prefer the Pure Romance line of dilators which are available through my office by calling 1-800-640-0290. Continue reading
Welcome to VaginismusMD
We created this website specifically for vaginismus sufferers and those women who have sexual pain. Millions of women struggle with vaginismus. It is the most common reason for unconsummated marriages affecting about 1-7% of the world population, yet most are undiagnosed. As a result, women live in silence and shame.
In 2005, I began a journey studying the treatment of vaginismus using Botox injections to help relax the spastic vaginal muscles that were preventing entry. As more and more women became successful, even those with the severe types of vaginismus, it became apparent that this type of treatment had merit and needed to be studied further. I applied for, and received a grant to begin a research study which led to FDA approval. In 2010, I published a book “When Sex Seems Impossible. Stories of Vaginismus & How You Can Achieve Intimacy” to help women understand and overcome vaginismus. This book has received worldwide recognition, and is being used as a study guide for sexuality programs. Continue reading