My personal journey treating vaginismus began in 2005 when a woman called my office to ask if I would treat her vaginismus with Botox. As a board certified Plastic Surgeon I had considerable experience with Botox treating a multitude of conditions but had never even heard the term vaginismus. After three months of reading the scant and often confusing scientific literature available on sexual pain I felt that she did struggle with vaginismus and decided to treat her using Botox under anesthesia. This proved to be successful. Thus began my personal journey treating vaginismus.
In 2010 I obtained FDA approval for continued research using the “Pacik Botox multimodal program” to treat vaginismus and wrote a number of scientific articles about this approach for the treatment of vaginismus. Since 2005 I have treated 391 women with vaginismus of 555 women evaluated who completed comprehensive questionnaires. It became obvious to me that there were varying levels of severity of vaginismus. Most women were treated with the Pacik Botox multimodal program because many were from out of state and from distant places around the world. These women were desperate for a cure and many were running out of time with only one chance to get better. They were treated with the best I had to offer. Yet during this time I felt that some of my patients might have had success using a lesser approach and some, given the proper information, may have been able to treat themselves.
Now retired, I continue to advocate for women suffering from vaginismus. I therefore created a one-hour film explaining vaginismus, how to distinguish vaginismus from other forms of sexual pain, an explanation of various treatments available and importantly a woman’s ability to self evaluate the severity of her vaginismus. It needs to be understood that not all vaginismus is the same much as any condition or illness which could be more or less severe. To avoid wasting time women should evaluate the severity of their vaginismus and seek the best type of treatment suitable for their condition. This is further explained in the film, on this website and my book “When Sex Seems Impossible. Stories of Vaginismus and How You Can Achieve Intimacy”.
During the past ten years there has been an explosion of articles about vaginismus. I am delighted with the progress that has been made. Though described in 1861 by Dr. Sims, vaginismus is still not taught in medical school, during residency and is rarely discussed during medical meetings. All of us need to continue to advocate to make vaginismus more well-known.