Dilation After a Break Part I

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 why women stop dilating for a period of time and most have concerns what it will be like when they start up again and how to proceed.

Once a person has been through the Botox program for vaginismus, it is my feeling that they have a good understanding of the dilation process. We spend many hours instructing patients. After leaving the clinic, women have a good sense of Dilation After a Breakwhat needs to be done. Whether it is just a break during the menstrual cycle or other longer periods of being off the dilators, it is always the same refrain: “Start small and dilate up”. It may take a week or more to get comfortable with the larger dilators and to use these for longer periods of time, but a week is a short amount of time compared to the many years of difficulty with penetration. All the tricks of positions of comfort for dilating (such as standing up, squatting, missionary position, etc) apply once again for resuming a dilation program. Sleeping with a #4 (purple) dilator every 2-3 nights is once again helpful in rapidly restoring the stretch of the vagina. Progressing to the #5 or #6 prior to intercourse is once again helpful. Transition to intercourse following a week or two of resuming the dilation program is usually easy. Intercourse also creates far less anxiety the second time around.

I always encourage my patients to be creative using different positions for dilation. These different positions and the use of aids such as vibrators and dildoes help foster confidence in the process and sets the stage for being more relaxed with love making.

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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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