Category Archives: Dilation

Dilation After a Break Part II

Discontinuing and Resuming the Dilation Regimen after Botox Treatment for Vaginismus Women are very committed to a dilation regimen after their Botox treatment for vaginismus. However, there are many reasons that women stop dilating for a period of time and … Continue reading

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Giving up Control

Vaginismus and control issues As a result of long term pain with attempted intercourse it is little wonder that my treated vaginismus patients are not willing to try different things. Add to this continued fear and anxiety and my patients … Continue reading

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The Vibrator and the Vaginismus Patient

Vibrators come in many shapes and sizes Vibrators for women come in many shapes and sizes. Many of our vaginismus patients have never seen or touched a vibrator, as it is very common for them to feel anxiety when thinking … Continue reading

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Dilator Advancement, Getting Unstuck

Most of the patients that we treat for vaginismus have a very severe form of vaginismus (Lamont grade 3,4; Pacik grade 5 — the most severe form) that have spent years trying different forms of conservative therapy and have failed … Continue reading

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Success with Dilation Only: Patient from Australia

While it is always best to have an in-person exam and treatment, I do sometimes counsel via email and skype if I feel that the woman is a good candidate for the dilation only treatment. The following patient who was … Continue reading

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Transitioning to intercourse: Communication and Control

When the moment arrives Control issues are so important when attempting to transition from dilators to intercourse. This is an overwhelming moment for most vaginismus patients, a moment in time that is feared. For the vaginismus sufferer, it is monumental … Continue reading

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Transitioning to Intercourse – Stories from our patients

Transitioning from dilators to intercourse can be monumental for many patients when still in the early stages of overcoming their anxiety to penile penetration, despite heroic progress with dilators. There are difficulties finding the “right position”, finding where the vagina … Continue reading

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What Happens When the Botox Wears Off?

A patient recently wrote that intercourse was going well three months after her treatment but was nervous about what would happen when the Botox effect was gone. On top of this she was graduating and leaving to go home to … Continue reading

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Olive Oil. Not just for cooking

Lubrication for vaginismus Lubrications are always a big topic for vaginismus patients. Most women use water-soluble lubes, and it is a good idea to check what the different companies have to offer on the Internet. Water-soluble lubes tend to absorb … Continue reading

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Recurrent Sexual Pain after Botox Treatment of Vaginismus

Every so often a patient regresses and complains once again of sexual pain after Botox treatment for vaginismus. This can be due to many factors, the most common of which is inadequate dilation. Just picking up the dilators and getting … Continue reading

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