- Part 1: Early signs and diagnosis of vaginismus
This video discusses the prevalence of vaginismus and how women do not discuss the condition. It is cross-cultural, affecting 1-6 percent of women around the world. Counseling, difficulty in diagnosis, and a definition of vaginismus are discussed. This video will help to answer the question, “What is vaginismus?”
- Part 2: Classifying the severity of vaginismus, treatment with Botox and dilators
This video discusses the spectrum of painful intercourse from pain with intercourse to the overall inability to have intercourse because of severe pain and fear. The Lamont classification grades the severity of vaginismus from the milder level 1 conditions to the more severe level 4 conditions. The value of Botox treatment for vaginismus and vaginismus treatment with dilators done under anesthesia is explained, as well as post-procedure therapy to help the woman ultimately transition from dilators to intercourse.
- Part 3: Advancing to intercourse after Botox Treatment for Vaginismus
This video continues the discussion of transitioning from dilators to intercourse after Botox treatment for vaginismus. Insurance coverage is common because vaginismus is classified as a sexual pain disorder. Difficulties that husbands have with vaginismus are discussed.
- “When Sex Seems Impossible” Meet the authors and book review.This video will introduce viewers to the authors of the vaginismus treatment book “When Sex Seems Impossible.” Learn about vaginismus symptoms, discover vaginismus treatment options, and begin a journey toward a vaginismus cure with the book.
- Meet the staff: Gloria, Ellen and Dr. Pacik — What to expect from the vaginismus treatment program
This video is an in office discussion with Gloria, Ellen, and Dr. Pacik. We discuss the first contact with the patient, how treatment is done, and what happens after the treatment of vaginismus using Botox and dilators. Patients waking up in the recovery room with a dilator in place, often the first penetration they have ever experienced, continues to be one of the most touching moments that moves all of us.
- Understanding 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 Patient’s Experience — Case history and patient interview (View in Portuguese)
- Vaginismus 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 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.
- Part 1: How to use dilators to treat vaginismus
This two-part video discusses the techniques of using dilators after treatment of vaginismus with Botox injections, a long acting local anesthetic, and progressive dilation all performed under anesthesia. The video discusses the importance of your partner’s participation in the dilation program, sleeping with a dilator every two to three nights, and continued long term dilation to avoid regression.
- Part 2: Overcoming vaginismus with the use of dilators and progression to intercourse