Dilating Post Botox Treatment for Vaginismus

Vaginismus patients have a fear of first time sexThe fear of dilating after Botox treatment for vaginismus

One of the scary things my patients express is the fear of dilating the day after Botox treatment for vaginismus. Every patient seems to go through this turmoil.

In actual fact, dilating after Botox treatment for vaginismus is much easier than imagined. This is due in large part to having been dilated to the large dilators under anesthesia and sleeping with a medium #4 dilator the night of treatment.

Pre-procedure nerves change into post-procedure elation

Dr. Pacik has customized these glass dilators so that they are shorter in length and therefore, more comfortable. The #4, #5 and #6 glass dilator is shown.

Dr. Pacik has customized these glass dilators so that they are shorter in length and therefore, more comfortable. The #4, #5 and #6 glass dilators are shown.

When patients return the following day for counseling, we take them through the dilation process even though the Botox is not yet effective. The #5 large dilator is lubed, the #4 removed, and in one motion the patient or her partner inserts the next larger dilator. Scary as this may seem this is such a cool transformation to experience as pre-procedure nerves change into post-procedure elation. This is only the beginning of what will be a successful journey and gives everyone the feeling of empowerment.

With personal involvement in the treatment of more than 275 patients since 2005, I can honestly say that the day after vaginismus treatment is a day I look forward to watching the change from nerves to elation. Our ladies are determined to conquer vaginismus. In a mere one day they are transformed both physically and mentally.

Pacik Glass Dilators

Since Dr. Pacik retired on September 1st, 2015, we are not selling the Pacik Glass dilators through our office anymore but we do have a web page with the manufacturer Crystal Delight where you can still order them. You can order the dilators as a set or individually with or without a pouch.

Contact Us

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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