Success Beyond Transitioning to Intercourse

The GYN Exam

Dreading the GYN Exam when you have vaginismusA success besides transitioning to intercourse is the ability for our patients to have a successful GYN exam. Most of our patients have never been able to have a gyn exam because of the fear of penetration of a speculum. After the Botox treatment for vaginismus plus progressive dilation, every patient gets the opportunity to hold, feel and practice inserting a speculum. This is a very important exercise as this experience helps reduce the penetration anxiety of a speculum. I advise them that it is important to dilate at least one hour before; and if possible, arrive at their exam with the dilator in place.

Success with GYN Exam 2 months Post Botox Treatment

The following is an email I received from a 28-year-old patient who had grade 5 vaginismus for 12 years. She had unsuccessful treatments including 4 years of anti-anxiety medications previously to being treated with Botox for her vaginismus. She achieved intercourse in 2-1/2 weeks after treatment. This email was received 2 months after treatment.

Hello Dr. Pacik,

Just thought I would share that I had to get a HSG test done today (I was diagnosed with PCOS) and I was nervous about the doctor putting the speculum in for the procedure since it was the first time since the Vaginismus treatment. I dilated with pink the night before and wore the pink dilator to the procedure this morning as well. My fertility specialist actually told me that he spent a couple years in a Vaginismus treatment clinic in PA, which made me feel a little better since he at least was familiar with the diagnosis.

Vaginismus Success StoriesLong story short, I had absolutely no pain during the entire procedure. My doctor even said that he couldn’t believe that I had Vaginismus since I seemed so relaxed!

It is still hard for me to believe that I just went through that without any pain. I just wanted to say thank you again!

Name withheld

GYN exams (dreaded and success!)

For more stories on the dreaded GYN exam and the success of overcoming this fear, please visit our website for the following stories:

  • Fear of a GYN Exam — typical stories, or remarks, of what patients have shared as they fill out the questionnaires. They are asked “How do you feel just knowing you will have a GYN exam? Please elaborate.” The severe reactions, which provoke a “fight of flight” response (palpitations, hyperventilation, sweating, trembling, nausea, vomiting, wanting to run away, wanting to attack the doctor), are the reasons for classifying them as a Pacik level 5 severe vaginismus.
  • Success with GYN Exam – Heather’s story. Heather struggled with vaginismus for 15 years as a severe Pacik level 5 primary vaginismus (the most severe form of vaginismus) and never had any form of penetration. She achieved pain-free intercourse one week after treatment using Botox injections and progressive dilation under anesthesia with post procedure counseling and support. She has always been terrified of a GYN exam. Success with GYN Exam is her commentary following her first gynecology exam with speculum and Pap smear.
  • Dreaded GYN Exam — There are many challenges to women who suffer from vaginismus. For some, any form of penetration is monumental, especially for women struggling with the more severe forms of vaginismus. This may range from inability to insert tampons, cotton tipped applicators, dilators, GYN exams and of course intercourse. Most patients with vaginismus are terrified of the GYN exam. Read about one of my patient’s experience with her GYN exam after Botox treatment for vaginismus.

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.

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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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