Sexual Aversion after Vaginismus Treatment

Even though most women with vaginismus dream of a normal sex life, there are some women who continue to struggle with sexual aversion even after successful vaginismus treatment. This is devastating to both the woman and her partner both of whom went through the vaginismus treatment process in the hopes of having a normal relationship.

Reasons for Sexual Aversion after Vaginismus Treatment

Vaginismus Low Libido 250There are many likely explanations for sexual aversion after vaginismus treatment. It could be something as simple as poor partner personal hygiene or naturally low libido. The roots of sexual aversion can reside in a woman’s strict religious or sexual upbringing. It can be very confusing to be brought up that “sex is dirty” and then suddenly the honeymoon arrives… with the expected calamity. Ongoing shame from sexual molestation can be a contributing factor. Libido may have deteriorated, orgasm may be difficult to achieve, relationship disconnect may need more healing and partner hostility may be a factor. Residual fear and anxiety to intercourse can be present in those women who continue to have catastrophic thoughts of pain with intercourse, even though they might be using their dilators well. In these more severe situations, there may be avoidance and persistent negative feelings similar to symptoms noted in post traumatic stress disorder.

Post procedure counseling deals with the issue of Sexual Aversion

Our post procedure counseling addresses these issues since it is hard to predict how sexual aversion will manifest itself after vaginismus treatment. It is always suggested that a woman who experiences sexual aversion should continue her care with a therapist skilled in managing this. It is well known that vaginismus is both a physical and an emotional disorder and even though a woman may be making excellent physical progress with her dilators, our patients sometimes complain that they need to “catch up emotionally to where they are physically”.

Sexual aversion tends to further delay the emotional healing process of vaginismus treatment but with willingness to address these issues and proper guidance from a trained counselor these issues can be overcome.

Contact Us

If you have any questions about sexual aversion or our vaginismus treatment using Botox and progressive dilation under anesthesia, please contact us via our contact us form. More information on vaginismus and the vaginismus treatment using Botox and progressive dilation under anesthesia can be found on our sister website, PlasticSurgeryPA.


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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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