Relaxing During Dilation after Vaginismus Treatment with Botox

Dilation after Vaginismus Treatment with Botox

All of our patients are given instructions on how, when and why dilation is important after vaginismus treatment with Botox. After the Botox treatment, which includes progressive dilation under anesthesia, our patients are always able to dilate themselves with the larger dilators. Our patients then come back on the next day for post-procedure counseling and practice with dilating. This is a very important day because it gives our patients the confidence they need to be successful with dilation on their own when they return home.

High anxiety leads to difficulty relaxing which may cause painful dilation after vaginismus treatment with Botox

If you still find yourself experiencing a high level of anxiety and not able to relax, then it is important to explore how one can reduce the anxiety. Perhaps taking a warm bath with scented candles and soft music, having a romantic supper at home and dancing afterwards, performing erotic massage on one another or maybe taking an evening walk under the stars. One needs to communicate with one’s partner to explore the many different possibilities of anxiety reduction associated with vaginismus or everyday life to be open to all possibilities.

VaginismusMD Forum Important for Support after Vaginismus Treatment

Vaginismus MD Forum

The VaginismusMD Forum is a place to introduce yourself, share your personal story, ask questions, and discuss ALL aspects of vaginismus and the treatment program. Do not be afraid to join and become an active member. This is a very friendly, safe, and most importantly private forum.

The following series of posts from our VaginismusMD Forum will be very helpful to the reader if anxiety and relaxing is an issue for you prior to or during dilation after vaginismus treatment with Botox. I highly recommend to everyone that finds themselves reading these blogs or visiting our website to join the VaginismusMD Forum.

VaginismusMD Forum Post #1 – Topic Tailbone Pain

User #1: “Ladies, Has anyone felt aching in the tailbone region when inserting the dilators? I occasionally notice this when inserting #5 or, more so, #6. It’s not tightness or muscular pain per se, as far as I can tell. More of a deep dull ache that goes away 1-4 minutes after insertion. I do have a retrograde uterus, and wonder if the tilt is causing some pressure back there while I’m inserting the larger dilators. Anyone else felt this before?”

User #2 Response: “I found that I was tensing up a lot when I was dilating which in turn made my leg/thigh/butt muscles feel shaky and sore like I had been exercising. While dilating, I found myself tense up because I was so nervous and scared about dilating. Each time I found myself tense; I would breathe and talk myself into relaxing. In the beginning, I was constantly tensing up while dilating but eventually dilating became second nature and I didn’t tense up. I know that any lingering soreness that I personally felt with dilating in the first days to week post-procedure disappeared with the more time that I did it as well. I hope this helps. Please know we are all here for you and you are doing AMAZING!!! :):):)”

VaginismusMD Forum Post #2 – Topic How Can I Relax During Dilation

Meditation with VaginismusUser #1: ” I realize I’m very tense while dilating, then when I realize I unclench my muscles and relax but then all of a sudden it happens all over again, I don’t know how to relax . . . It doesn’t take me more than 10 seconds to get in the dilator (but I’m tense) . . . Is this ever going to go away, is there any way to avoid it? I’m 150 days post procedure, and still feel like I’m only at the beginning of this long journey . . . Is this normal?”

User #2: “It is very common to sometimes feel tense with dilating as well as intercourse and it is something that we’ve all experienced. The key is to find ways to really allow yourself to relax. I personally have found self-hypnosis to be very, very helpful. . . . Some good ideas from other posts include: Patient 1: “We enjoy watching a nice movie at home while I dilate. Once the movie is finished, we tune up to some soothing music and move on with our plans.” Patient 2: “Post-procedure, I find that taking a long shower, burning some lavender scented oil (in an oil burner with a tea candle on the bottom), and watching something funny helps me to relax while dilating.” “

User #3: “I think yoga is a great idea for relaxation prior to dilating. I found a great article that discusses both yoga and meditation DVDs.

Importance of Reducing Anxiety and Relaxing after Vaginismus Treatment with Botox

The woman who has suffered with vaginismus may continue to have anxiety and a difficult time relaxing. It is our mission Anxietywith post-procedure counseling and practice dilation, that you will become less anxious and more relaxed as you develop this skill of dilating, I relate it to learning snow skiing. On your first attempt, you are anxious, nervous and scared to go down the bunny slope; but with the very important concept of continued practice, you will advance to the beginner slopes, then the intermediate slopes and finally to the advanced slopes (intercourse!).

It is important to remember that by reducing your anxiety and relaxing more, your progression to the new beginning will be quicker and more enjoyable. I have also found that after a woman is treated with Botox and becomes successful with progressive dilation, she is able to achieve intercourse and as her anxiety decreases, often she will note that her desire increases.

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.

Dr. Pacik

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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