Falling off the Wagon

Botox program for Vaginismus

The Botox and dilation program is highly effective as a treatment for vaginismus and patients are likely to continue having pain free intercourse without having to return for more Botox. It does take dedication and perseverance to maintain a dilation schedule for about a year. Though one hour of progressive dilation is recommended twice a day, and sleeping with a medium sized dilator every second night, when one is compliant with this schedule, it is normal to be able to maintain effective dilation for less time after about two months. Some of my patients do fine just dilating 15 minutes a day once they are having pain free intercourse. I still recommend sleeping with a medium sized dilator every two to three nights. Anytime discomfort with intercourse is noted, the first thing I recommend is an increase in the amount of time spent dilating.

The following are notes from a 39-year-old health care professional who struggled with lifelong Lamont level 4 primary vaginismus for 14 years. When asked to describe “How vaginismus has impacted your relationship”, she wrote the following:

“For years of having vaginismus, we had a very bad relationship, strained and loss of attention and love to each other. Rick had a brief relationship with a woman which hurt me emotionally. But then we decided to work through the problems and stay together. Since then, we’ve gained back our love and affection to each other and keep going on with our life and finding solutions to this issue.”

Cure of vaginismus, then failure

“With supervision and counseling I was able to slowly progress from the smallest to the largest dilators. It was successful therapy. I was no longer afraid of using tampons and dilators. The first time my husband ever had full penetration was January 2011, 14 yrs after our marriage. I didn’t feel any pain nor enjoying it, but I’m happy that he was happy. It was one of the last days of my program. Since then, I have lapsed on my exercises due to busy working schedules and travelling, not knowing that I could regress. Unfortunately, I still feel the pain during intercourse. That’s why I am searching for more help in this matter.”

This is unfortunately too common, where once “cured” women think they can stop dilating. Renee spent quite a bit of money on her program and now is unable to fulfill her dreams of a meaningful sexual relationship. She is scheduled for treatment with the Botox program and this time is determined not “to fall off the wagon”.

For another patient who had her ups and downs after being treated with the Botox program for vaginismus, please read the story titled “Relationship Struggles” on this website.

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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