Dilation Schedule Different for Every Patient
Every patient progresses at a different rate following treatment of their vaginismus with the Botox and dilation program. Some progress quickly, others take longer. Two of my patients took eight months to achieve their goals. Below is a representative dilation schedule. Patients are asked to keep a daily log of their dilation schedules after treatment and to enter the most recent day at the top of the word document. This allows me to review the entire schedule and to make adjustments as needed. The common theme is that patients start slowly, with the smaller dilators, and work up to being comfortable with the larger dilators. The important aspect is to take responsibility for one’s own dilation schedule. The successes are amazing!
Sample Dilation Schedule from a patient from Ireland
20 year history of Lamont Level 5 primary vaginismus
(most severe form, no penetration at all. Read from below up)
Fri 4 November – Morning: full intercourse!
Thur 3 November – Morning: PINK for two hours. Evening: PINK for an hour. Tip-only and then full penile penetration, with movement. Night: slept with PINK in.
Wed 2 November – Morning: PINK for one and a half hours. Fine. BLUE for five minutes: very uncomfortable. Evening: tried ‘tip only’ penetration: not enough rigidity. Night: slept with PURPLE in.
Tue 1 November – Morning: PINK for forty minutes. Went in more easily than before by using Kegels. Night: slept with PINK in.
Mon 31 October – Morning: PINK for one hour. Very uncomfortable at entry and throughout dilation time. Evening: PINK for one hour. Still quite uncomfortable at entry but fine then. Night: slept with PURPLE in.
Sun 30 October – Evening: PINK for three hours (fell asleep . . .). Was quite uncomfortable at entry but then fine.
Sat 29 October – Morning: PINK for one hour. Went in with minimal discomfort. Afternoon: PINK for one hour. Fine. Night: slept with PURPLE in.
Fri 28 October – Morning: PINK for one hour twenty minutes. A little uncomfortable at entry but manageable. Evening: PINK for one hour. Discomfort eased a good bit within a few minutes. Night: slept with PURPLE in.
Thur 27 October – Morning/Afternoon: dilated up to BLUE in Dr Pacik’s clinic: blue was difficult to insert. Evening: PINK for one hour. Night: slept with PURPLE in.