Why Botox Injections for the Treatment of Vaginismus?

As a plastic surgeon, I have treated over a thousand patients with Botox Cosmetic to improve dynamic (muscular) wrinkles since it was FDA approved in April 2002. Botox Cosmetic is diluted Botulinum Toxin, initially used to control spasm of the eye muscles. Cosmetically, it is used to smooth and eliminate forehead lines, frown lines, crow’s feet and neckbands by weakening or paralyzing the active muscles responsible for these wrinkles.

Unretouched clinical photos taken while frowning before and 14 days after treatment with BOTOX ® Cosmetic.

My first experience using Botox Injections in the Treatment of Vaginismus

When a woman contacted me in 2005 asking if I would treat her vaginismus using Botox injections, I was deeply moved by her story of her suffering with this condition called vaginismus. This woman reached out to me because she knew that I had successfully been giving patients Botox injections for cosmetic purposes for years. Her cry for help ultimately changed the course of my practice.

After much research into the subject, I wondered if Botox injections could be the “missing link” in the treatment of vaginismus. I decided to treat this woman who proved to be both a success story and a learning experience. Three months after her Botox procedure, she achieved pain-free intercourse for the first time in her life.

As I continued to use Botox to treat other vaginismus patients, I continued to learn by listening to my patients and from studying my treatment procedure and making the necessary changes. In 2009, I decided to add progressive dilation under anesthesia to the treatment program, which proved to be very successful in the treatment of vaginismus.

Received FDA Approval to Continue my Research using Botox in the Treatment of Vaginismus

In 2010, I received FDA approval to continue my research using Botox in our treatment program. As of April 2012, I have now treated over 170 vaginismus patients using Botox injections and progressive dilation under anesthesia with a cure rate well in excess of 90 percent with minimal side effects.

Designed Glass Dilators that are much Shorter than typical Medical Silicone Dilators

I am still listening to my patients and refining the treatment program. A lot of patients complain that dilating takes so much time and they sometimes “fall off the wagon” and then need to get back on track. Therefore, I have recently designed glass dilators, which are much shorter than the typical medical silicone dilators used routinely. These glass dilators, which are about 50 percent shorter, enable our patients to “multi-task” while dilating. Our patients love these glass dilators and I even had a patient email me that she “went shopping with the glass dilators in place!”

Please Note: Since Dr. Pacik retired on September 1st, 2015, we are not selling the Pacik Glass dilators through our office anymore but we do have a web page with the manufacturer Crystal Delight where you can still order them. You can order the dilators as a set or individually with or without a pouch.

My work with Botox Injections for the Treatment of Vaginismus Continues . . .

I continue to follow the progress of most of the women I have treated. I am heartened by all their stories of freedom from the fear of penetration . . . of consummating their relationships . . . and of becoming moms!

One of my patients wrote:

“I can’t tell you how glad I am I made the decision to use Botox. It changed my life completely. All the stress and frustration my husband and I went through are gone. By allowing us to enjoy a good sexual relationship, Botox helped restore equilibrium, trust and happiness in our marriage. And most importantly, it allowed me to experience the wonderful joys of motherhood! Now, thanks to the Botox, I have built a family. And I am planning to expand it soon with another child!”

Contact Us for More Information

For confidential personalized information and advice for Botox treatment for vaginismus and progressive dilation under anesthesia, please visit our website for more information on our Botox Treatment or use the on-line contact form to send an inquiry.

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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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