Vaginismus Publications

Vaginismus Treatment Book: When Sex Seems Impossible. Stories of Vaginismus and How You Can Achieve Intimacy by Peter T. Pacik, MD, FACS

Vaginismus Treatment book by Dr. Peter PacikThe field of vaginismus, including vaginismus symptoms, vaginismus treatment and vaginismus cure, is discussed in the book: “When Sex Seems Impossible. Stories of Vaginismus and How You Can Achieve Intimacy” written by Dr. Peter T. Pacik who is a recognized authority on successful vaginismus treatment using Botox, progressive dilation under anesthesia and extensive post procedure counseling. This book is available through this website as well as and can be purchase either as a paperback book or the Kindle version.

Book reviews on the website were written both by patients who have had vaginismus treatment as well as therapists in the field of vaginismus. As an overview of vaginismus, this book will answer many of the questions women, their partners and family have about vaginismus. The many aspects of vaginismus can be read in the sample chapters.

Vaginismus Treatment with Intravaginal Botox and Dilation Under Anesthesia. A Prospective Study of 70 Consecutive Patients.

Article on Vaginismus Treatment Using Botox

A five-year prospective study of 70 consecutive patients who had vaginismus treatment, demonstrated the efficacy of intravaginal Botox, progressive dilation under anesthesia and post-procedure supervised dilation, counseling and follow up.

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Vaginismus: Review of Current Concepts and Treatment Using Botox Injections, Bupivacaine Injections, and Progressive Dilation with the Patient Under Anesthesia

Current Concepts and Treatment Using Botox Injections for Vaginismus

In this publication Dr. Pacik discusses his  FDA approved pilot study using Botox, long acting local anesthetic injections and progressive dilation under anesthesia for vaginismus treatment. The current vaginismus literature is reviewed. The importance of properly classifying the severity of vaginismus, according to the Lamont and Pacik classifications, is discussed.

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I Botoxed My Vagina

Botox injections for vaginismus

Cosmopolitan Magazine, Pages 164-165, November 2011. A story of vaginismus and vaginismus treatment of one of Dr. Pacik’s treated patients who had a combination of vaginismus and vulvodynia for eight years as told to the staff of Cosmopolitan. She was treated using the Botox program for vaginismus and describes her progress. In her desire to advocate for other women suffering from vaginismus, she wanted to tell her story to Cosmo.

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Viewpoint: Vaginismus Treatment using Botox 

Article on Vaginismus Treatment Using BotoxVaginismus treatment using a relatively new concept of treating spastic vaginal muscles with Botox is described in this 2009 article. Uncontrolled involuntary spasm of the vagina makes intercourse impossible or very painful. Vaginismus is thought to occur because of an extreme fear of intercourse due to the thought that it will be very painful. The results of our first 20 patients are discussed in this article. Our patients continue to experience a success rate of over 90 percent following vaginismus treatment with Botox.

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FDA Approves Vaginismus Treatment Using Botox

Article on FDA Approves Vaginismus Treatment Using BotoxOn August 11, 2010, plastic surgeon Peter T. Pacik, MD, FACS, received notification that the FDA approved his proposed study of a comprehensive program of vaginismus treatment using intravaginal Botox injections and progressive dilation under anesthesia to treat primary vaginismus (IND 109343). The FDA-approved treatment study includes Botox injections delivered to the spastic muscles inside the vagina, combined with progressive dilation under anesthesia and supervised dilation post procedure. The program also includes post treatment support, as patients transition from dilators to intercourse. Significant follow-up data will be included. The study is registered with

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Treatment of vaginismus with onabotulinumtoxinA: results from a pilot study.

Treatment of vaginismus using Botox. A pilot study

The botox program using intravaginal Botox injections, bupivacaine injections and progressive dilation under anesthesia has been shown to be effective in 97% of vaginismus patients in a FDA approved pilot study as presented to the 34th Annual Scientific Meeting of the American Urogynecologic Society on October 18, 2013.

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Botox Treatment Program to Cure Vaginismus Successful in over 90% of Patients

Vaginismus Cure using Botox injections in over 250 PatientsOn January 13, 2013, Peter T. Pacik, MD, FACS the leading expert on using BOTOX® injections to treat women with vaginismus, announced his findings in treating over 250 patients. Since 2005 Dr. Pacik has treated over 250 patients from across the world in his office in Manchester, New Hampshire. His success rate in treating patients with vaginismus is over 90%.
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Vaginismus Another Ignored Problem

Vaginismus is another ignored problemIn this Letter to the Editor, Dr. Pacik discusses that vaginismus is another field of female sexual dysfunction that continues to be ignored by many medical schools, residency programs and is rarely discussed at medical meetings. When a patient complains that attempted intercourse feels like it is “hitting a wall”, suggestive of spasm at the level of the introitus, this is a symptom that helps differentiate vaginismus from dyspareunia, vulvodynia and provoked vestibulodynia.
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Understanding and Treating Vaginismus

Understanding and Treating Vaginismus using BotoxA recent study by Peter T. Pacik, MD, FACS, shows a 90+% success rate in treating vaginismus, a condition which many health care providers fail to recognize yet effects between 1 and 7 percent of all women worldwide. This multimodal approach for the treatment of vaginismus expands on a prior FDA approval for research in this field. Treatment utilizes a combination of BOTOX® injections and progressive dilation under anesthesia as well as post procedure supervised dilation, and sex counseling to produce results.
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