Leg lock after treated vaginismus

Day 42:

“Attempted intercourse again after dilating with pink for 30 minutes and blue for 30 minutes. We were able to have some penetration in a few different positions, but I was still so tense/uncomfortable. I couldn’t seem to relax my body. When Jack is inside of me, I feel ok but then if he moves, I get all uncomfortable again.”

Most patients have difficulty making the final transition to anxiety free intercourse, even if they have done well with the dilators. For the patient above who was treated for lifelong primary vaginismus using the Botox program, her behavior is completely understandable. She has a seven year history of the most severe form of vaginismus, Pacik/Lamont grade 5 primary vaginismus, and has never experienced any form of penetration. “Leg lock” is actually quite common, almost all my severe vaginismus patients experience this to some degree.

In her email to me she writes:

“Jack and I attempted intercourse for the second time today. I think I did better than the first time, but I still have such a problem relaxing my legs. We can get about halfway in without too much effort, but I kept freaking out every time Jack would move it a little bit. I actually was subconsciously pushing Jack away with my legs when he would try to get closer or push it in a little bit more. We tried several positions, but I was still really tense in all of them. I’m hoping with practice, I will be able to relax and open up my legs more, but do you have any suggestions for the next time we try? I felt so confident with my dilating, but I’m feeling frustrated that when it comes to intercourse, I am so tense.”

It does become easier and more natural with time. This is where patience and practice are important Leg lock is a function of uncontrolled anxiety. As another patient wrote “I need to catch up emotionally to where I am physically”. So true.

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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