Videos on YouTube

    • Understanding the full treatment program for vaginismusUnderstanding the full treatment program for vaginismus
      In this video, we continue the staff discussion of what you can expect during the treatment program for vaginismus. Treatment of vaginismus is more than just injecting Botox into the spastic muscles. It is an entire program in which we support the patient through her dilation period while spending three mornings with us, and the counseling we do post-procedure.

    • Vaginismus Part 1: A PatientVaginismus Part 1: A Patient’s Experience — Case history and patient interview (View in Portuguese)
    • Vaginismus Part 2: A PatientVaginismus Part 2: A Patient’s Experience — Case history and patient interview (View in Portuguese)
    • This two part YouTube video (in English and in Portuguese) is an interview of a 27 year old patient who struggled with vaginismus for the two and a half years of her marriage. Attempted physical therapy on two separate occasions over a span of two years was successful in allowing her to achieve penetration; however, she was unable to progress beyond the small dilators. Biofeedback at the time of PT showed that she was unable to relax her pelvis. Attempts at intercourse resulted in severe burning “as though my skin was being broken.” Her marriage was on the verge of a divorce. She was treated under anesthesia using Botox injections and progressive dilation for vaginismus. At the time of examination under anesthesia, she had maximum spasm of the entry muscle. She awakened in the recovery room with the largest dilator and spent the next week dilating and sleeping with the medium sized dilator. She achieved intercourse at 6 days. She is now 8 months following her treatment. Repeat post treatment studies by PT now showed normal pelvic muscular tone. She discusses her experiences using dilators and even after 8 months feels that continued dilation is important to avoid regression. She notes the “The dilator is your best friend.” She has counseled many of our patients, and with her fluency in Portuguese, she was very helpful supporting a patient who flew in from Portugal. She has become an advocate for women with vaginismus and volunteered to be interviewed for this video.

    • Discussion of the safety of anesthesia, Botox and dilation for treatment of vaginismusDiscussion of the safety of anesthesia, Botox and dilation for treatment of vaginismus
      Dr. Richard Spaulding is a board certified anesthesiologist who has delivered anesthesia to many of my patients. He, together with the other board certified anesthesiologists at the Elliot Hospital, routinely take care of the anesthesia needs of our vaginismus patients. We discuss the safety measures in place, how a number of us are advanced cardiac life support certified, and the long term certification of our surgicenter. He comments on the short acting anesthetic agents that are used and the importance of controlling anxiety. He notes that when a patient feels out of control, anxiety takes control. By using short acting intravenous antianxiety agents the patient actually feels MORE in control. We are fortunate to have the services of this elite group of doctors for our vaginismus treatment.