Botox for Vaginismus News did a news release on February 25, 2011 on my FDA approval for the study of using Botox for vaginismus.

Most of the comments that follow the news release are of value to the reader because patients who have had their vaginismus treated with Botox give a clear description of their treatment and aftercare. This news release is an important step in getting the word out so that vaginismus becomes a more common concept. It is important to continue this MSNBC thread and for you to post.

The use of Botox for vaginismus is gaining in popularity because of the ease of injecting this drug, it’s safety record and the consistent efficacy of its use. Patients are able to achieve pain free intercourse in a few weeks and are able to begin raising a family. (I love getting the photographs of their ultrasounds, and then pictures of the baby’s birthday parties!)

The widespread use of Botox to treat vaginismus will also have its failures if the entire program of education, dilators and post procedure support is not followed. This is all described in my book “When Sex Seems Impossible. Stories of Vaginismus & How You Can Achieve Intimacy”. I have been in contact with several patients who were injected with Botox elsewhere, with no follow-up or post-procedure support, who have failed to advance to intercourse.

The importance of adding dilation under anesthesia cannot be overemphasized, as well as the hours of supervised dilation in the recovery room afterwards for the next two days. Post procedure counseling is essential to the successful outcome of curing vaginismus because some patients have relationship issues that need the ongoing help of an experienced counselor, some continue to have residual fear of penile penetration, while others are simply sexually inexperienced and need help in understanding their own sexual needs as well as the needs of their partner.

For any vaginismus patient, the book “When Sex Seems Impossible…” is important to read to better understand vaginismus and how it is treated. The book can be ordered on my website or through It is available in paperback or in Kindle.

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If you have any questions about our Botox treatment for vaginismus and progressive dilation under anesthesia, please contact us via our contact us form.

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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.
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