Ever since I was five years old I always knew I would be a doctor. As immigrants, my parents wanted me to have a better life and to be in a profession that could be practiced anywhere in the world regardless of circumstances. I studied hard and for long hours. I grew up embracing education.
I felt honored to be accepted by the City University of New York. It was a school filled with refugee kids who all worked hard to achieve what their parents couldn't because of the persecution in their home countries. I lived at home and commuted daily to the college on my motor scooter. I worked as dishwasher, bus boy and then waiter in the Catskill mountains during my spare time to save enough to attend medical school.
Graduating in 1961, cum laude, Phi Beta Kappa with a Bachelor of Science degree, I was prepared for the rigors of medical school. I was accepted to the State University of New York, Downstate Medical Center where I received my MD degree and later became certified by both the American Board of Surgery and the American Board of Plastic and Reconstructive Surgery. The last two years of medical school transitioned into a year of internship and six years of surgical residency training during which time we were all on call, 36 hours on, 12 hours off for nine years! It was a long period of sleepless nights coupled with intense education, and I would do it again in a heartbeat!
I settled in the beautiful state of New Hampshire to begin my practice in Plastic Surgery and raise a family. My early work involved repairing cleft lips and cleft palates. It was wonderful working with these courageous kids and their parents. The children were ten days old when I did the first of a number of stages to repair their deformity. I spent fourteen years as Chairman of Crippled Children's Services (CCS) and encouraged my team to return our fees back to CCS so they would have enough funds to continue their important work. My life was filled covering a large geographic area of emergency trauma victims, performing surgery day and night; introducing microscopic hand surgery and head and neck cancer ablation and reconstruction. My career later incorporated cosmetic surgery including Botox for a variety of conditions such as cosmetic, migraine headaches and excessive sweating.
In 2005, a patient called the office to ask if I would treat her vaginismus with Botox. I never heard the term nor did I learn anything about this condition in medical school. I was stunned by the lack of medical information. I had enough experience with Botox that I was confident I could help her. The outcome was successful and my patient was finally able to achieve pain free intercourse.
Since then, I have read hundreds of emails and questionnaires from women pleading for help to feel normal, to raise children and to save their marriages. Each email and questionnaire tore at my heart. They lived in a world of silence feeling shame and embarrassment, not sharing this with friends or family and not even their own doctors. The more severe cases of vaginismus often moved from therapist to therapist with neither an answer nor an effective treatment. Doctors told them to "just relax", "it's all in your head". Their marriages were falling apart, budding relationships breaking up, they were tormented that they would never "be normal" and some even considered suicide. These were stories that needed to be told. "When Sex Seems Impossible. Stories of Vaginismus & How You Can Achieve Intimacy" was written to tell not only the stories but to give women a voice and a resource for information and treatment.
As I treated more women, I realized that the treatment of vaginismus became a "calling". I applied for and received a grant to study the treatment of vaginismus. This was followed by Institutional Review Board (IRB) approval and then FDA approval with an Investigational New Drug (IND) approval for my continued research using Botox to treat vaginismus.
Vaginismus is now becoming more well known. Botox injections as a treatment for vaginismus results in a cure rate of well over 90% when combined with the use of dilators and post procedure counseling. For the many patients who are willing to do the work, I am there to help them. We stay in touch for many years after their treatment and I am thrilled to hear about the birthdays of their children.
This website is the result of years of research in the field of vaginismus. At the time of my retirement in 2015 I treated 391 women using the Pacik Botox multimodal program. I continue to spend countless hours writing and teaching to disseminate new knowledge about vaginismus. Slowly we are tearing down the walls of silence. We are replacing ignorance with education. It is my dream that one day vaginismus will be as well known as erectile dysfunction and that no one needs to hide or be embarrassed. We can do it when we pull together to overcome this debilitating condition.
The City College of New York
B.S., Cum Laude, Phi Beta Kappa - 1961
College of Medicine - State University of New York, Downstate Medical Center, New York, New York - M.D. - 1965
Beth Israel Medical Center, New York City - 1965-66
GENERAL SURGERY RESIDENCY:
Beth Israel Medical Center, New York City - 1966-67
Westchester County Medical Center, Valhalla, NY - 1967 -70
Chief Resident General Surgery - 1969-70
PLASTIC SURGERY RESIDENCY:
Upstate Medical Center, Syracuse, NY - 1970-72
Chief Resident Plastic Surgery - 1971-72
AMERICAN BOARD CERTIFIED:
Surgery - 1971
Plastic Surgery - 1973
American College of Surgeons - 1977
International Society for the Study of Women’s Sexual Health - 2013
National Board of Medical Examiners
American Society of Plastic Surgeons, Life Member
New England Society of Plastic and Reconstructive Surgeons
International Society for the Study of Women's Sexual Health
International Society for Sexual Medicine
Catholic Medical Center - Manchester, NH – 1972-2015
Elliot Hospital - Manchester, NH – 1972-2015
Department of Surgery – 1976, Catholic Medical Center
Physician’s Search Committee – 1977-78, Catholic Medical Center
Sub department of Plastic Surgery – 1975-87, Elliot Hospital
Manchester Cleft Palate Evaluation Unit: Crippled Children’s Services – 1973-86
Reviewer: Multiple medical journals
Examiner: American Assoc. for Accreditation of Ambulatory Plastic Surgery Facilities, Inc. 1990 to 2005
Certified: Advanced Cardiac Life Support - 1985 to 2015
American Society of Plastic and Reconstructive Surgery
Certificate of Recognition for Continuing Medical Education Requirements – through present
Independent Review Board Approval, FDA Approval, 2010
Pilot Study Protocol BTX-PV-01: Open Label, Single Center, Pilot Study of the Use of Botox Injections, Sensorcaine Injections and Progressive Dilation Under Anesthesia for the Treatment of Primary Vaginismus, September 2011
Pacik PT: "Partial Nasal Reconstruction Using Nasolabial Grafts" New England Society of Plastic and Reconstructive Surgeons – Newport, R.I. – May 19, 1978
Pacik PT: "Postoperative Pain Control in Augmentation Mammoplasty" New England Society of Plastic and Reconstructive Surgeons – Chatham, MA – June 7, 1998
Pacik PT: "Pain Control in Augmentation Mammaplasty – The Use of Indwelling Catheters in 200 Consecutive Patients" New England Society of Plastic and Reconstructive Surgeons –Manchester, VT – June 2, 2002
Pacik PT: "Pain Management in Augmentation Mammaplasty: A Randomized Comparative Study of the Use of a Continuous Infusion Versus Intermittent Bolus of a Local Anesthetic" American Society of Plastic Surgeons – San Diego, California – October 29, 2003
Pacik PT: "Augmentation Mammaplasty: Managing the Inframammary Fold" New England Society of Plastic and Reconstructive Surgeons – New Castle, NH – June 4, 2006
Pacik PT: "Masters Panel on Complications" New England Society of Plastic and Reconstructive Surgeons – Newport, RI – June 3, 2007
Pacik PT: "Augmentation Mammaplasty: Pain Control: Indwelling Catheters in 687 Consecutive Patients: Data Analysis" New England Society of Plastic and Reconstructive Surgeons – Manchester, VT – June 7, 2008
Pacik PT: "Continuing Education: The Spectrum of Dyspareunia to Vaginismus: Diagnosis, Case Histories and Outcomes. Possible Cure with Botox and Dilators under Anesthesia" The Society for the Scientific Study of Sexuality – St. Petersburg, FL – June 5-7, 2009
Pacik PT: "An Overview of Vaginismus: Etiology, Diagnosis and Treatment with Botox and Dilators under Anesthesia: Physicians and Sexological Clinicians Working Together for Healing" The Society for the Scientific Study of Sexuality, Las Vegas Annual Meeting. November 4-7, 2010.
Pacik PT: “Vaginismus: The Lamont Classification Revisited.” Poster Session. International Society for the Study of Women's Sexual Health. Scottsdale, AZ. February 10-13, 2011
Pacik PT: “Vaginismus: Treatment with Intravaginal Botox and Dilation under Anesthesia. A Prospective Study of 70 Consecutive Patients.” Podium Presentation. International Society for the Study of Women's Sexual Health. Scottsdale, AZ. February 10-13, 2011
Pacik PT: "An Overview of Vaginismus: Etiology, Diagnosis and Treatment with Botox and Dilators under Anesthesia: Physicians and Sexological Clinicians Working Together for Healing" The Society for the Scientific Study of Sexuality, Houston Annual Meeting. November 3-6, 2011.
Pacik PT: "The Role of Spasm in Vaginismus" Poster Session International Society for the Study of Women's Sexual Health, Annual Meeting, New Orleans, LA. February 28-March 3, 2013.
Pacik PT: "Vaginismus: Treatment Using a BotulinumtoxinA Program" Poster Session International Society for the Study of Women's Sexual Health, Annual Meeting, New Orleans, LA. February 28-March 3, 2013.
Pacik PT: "Sexual Pain-Vaginismus" Staff lecture Elliot Hospital, Manchester, NH June 21,2013.
Pacik PT: “Treatment of Vaginismus with OnabotulinumtoxinA: Results from a Pilot Study” American Urogynecological Society 2013 Annual Scientific Meeting, Las Vegas, NV, October 18, 2013; Female Pelvic Medicine & Reconstructive Surgery, Suppl 19:S 59
Pacik PT: “Understanding and Treating Vaginismus” Educational roundtable. American Urogynecological Society 2013 Annual Scientific Meeting, Las Vegas, NV, October 19, 2013
Pacik, PT: "Understanding and Treating Vaginismus" ASOCP 10th Annual Cosmetic Conference, Orlando, FL, October 7-11, 2015.
Pacik PT, Lowenfels A Enigmatic Pneumobilia Archives of Surgery 1970; 101:89
Pacik PT, Farnsworth D Glossoptotic Hypoxia and Micrognathia The Pierre Robin Syndrome Reviewed Clinical Pediatrics 1971; 10:600
Pacik PT Conservative Management of the Common Ganglion Comment and Response Orthopedic Review 1978; 7:90
Pacik PT Partial Nasal Reconstruction with Nasolabial Free Grafts Technical Forum 1979; 3:6
Pacik PT The Trifurcation Headache in Reduction Mammaplasty Plastic & Reconstructive Surgery 1981; 69:975
Pacik PT Patients Determining Breast Implant Size Plastic & Reconstructive Surgery 1982; 69:1028
Pacik PT Delayed Onset of Prominent Ears Plastic & Reconstructive Surgery 1983; 71:444
Pacik PT Classification of Mastectomy Deformity Annals of Plastic Surgery 1986; 16:49
Pacik PT Liposuction: Fat vs. Total Aspirate – A Time for More Precise Terminology Plastic & Reconstructive Surgery 2001; 108:1451
Pacik PT Pain Control in Augmentation Mammaplasty – The Use of Indwelling Catheters in 200 Consecutive Patients Plastic & Reconstructive Surgery 2003; 111:2090
Pacik PT Discussion: Efficacy of the Pain Pump Catheter in Immediate Autologous Breast Reconstruction Plastic & Reconstructive Surgery 2004; 114:899
Pacik PT Pain Management in Augmentation Mammaplasty: A Randomized Comparative Study to Compare the Use of a Continuous Infusion Versus Self-Administration Intermittent Bolus of a Local Anesthetic Aesthetic Surgery Journal 2004; 24:523-530
Pacik PT Follow-up: Pain Control in Augmentation Mammaplasty: The Use of Indwelling Catheters in 350 Consecutive Patients Plastic & Reconstructive Surgery 2005; 115:575
Pacik PT Augmentation Mammaplasty and Von Willebrand's Disease Plastic & Reconstructive Surgery 2005; 115:1440
Pacik PT Discussion: The Efficacy of Continuous Local Anesthetic Infiltration in Breast Surgery: Reduction Mammaplasty and Reconstruction Plastic & Reconstructive Surgery 2005; 115:1935
Pacik PT Augmentation Mammaplasty: Enhancing Inferomedial Cleavage Aesthetic Surgery Journal 2005; 25:359-364
Pacik PT Viewpoint: Augmentation Mammaplasty: Asymmetrical Lowering of Breast Fold Plastic & Reconstructive Surgery 2006; 117:2523
Pacik PT Breast Augmentation Revisited Cosmetic Surgery Times, 2007; 10:42-47
Pacik PT Augmentation Mammaplasty: Postoperative Cephalosporin Induced Hepatitis Plastic & Reconstructive Surgery 2007; 119:1136
Pacik PT, Nelson C Pain Control in Augmentation Mammaplasty: Safety and Efficacy of Indwelling Catheters in 644 Consecutive Patients Aesthetic Surgery Journal, 2008; 28:279-284
Pacik PT Pain Control in Augmentation Mammaplasty Using Indwelling Catheters in 687 Consecutive Patients: Data Analysis Aesthetic Surgery Journal, 2008; 28:631-641
Pacik PT Contralateral Pain Reduction in Augmentation Mammaplasty Using Pain Control Catheters and Controls Plastic & Reconstructive Surgery 2009; 123:1130
Pacik PT Viewpoint: Botox Treatment for Vaginismus Plastic & Reconstructive Surgery 2009; 124:455e-456e
Pacik PT, Cole J Book: When Sex Seems Impossible. Stories of Vaginismus & How You Can Achieve Intimacy, Odyne Publishing 2010
Pacik PT Pain Control in Augmentation Mammaplasty: The Use of Indwelling Catheters in 813 Consecutive Patients Plastic & Reconstructive Surgery 2010; 125(6):1814-1815
Pacik PT Marcaine for Augmentation Mammaplasty Plastic & Reconstructive Surgery 2011; 127:1009-1010
Pacik PT Vaginismus: A Review of Current Concepts and Treatment using Botox Injections, Bupivacaine Injections and Progressive Dilation Under Anesthesia Aesthetic Plastic Surgery, 2011; 35:1160-4 DOI 10.1007/s00266-011-9737-5
Pacik PT Vaginismus: Treatment with Intravaginal Botox and Dilation Under Anesthesia. A Prospective Study of 70 Consecutive Patients. 2011; Journal of Sexual Medicine, DOI 10.1111/j.1743-6109.2010.02249_4.x
Pacik, PT The Role of Spasm in Vaginismus 2013; Journal of Sexual Medicine, Suppl 10:176
Pacik PT “Treatment of Vaginismus with Onabotulinumtoxina: Results from a Pilot Study” Female Pelvic Medicine & Reconstructive Surgery 2014 Suppl 19:S 59
Werner MA, Ford T, Pacik PT, Ferrara M, Marcus BS "Botox for the Treatment of Vaginismus: A Case Report" Volume 3, Issue 2, 1000150 J Women's Health Care ISSN: 2167-0420 JWHC, an open access journal Open Access Case Report DOI 10.4172/2167-0420.1000150
Pacik PT "Understanding and Treating Vaginismus – a Multimodal Approach" International Urogynecology Journal. 2014; 25 (12), DOI: 10.1007/s00192-014-2421-y
Pacik, PT "Vaginismus: Another ignored problem" Sexuality & Culture (2014) 18:737-738 DOI 10.1007/s12119-014-9245-2
Pacik PT, Geletta S "OnabotulinumtoxinA as Part of a Multimodal Program to Treat Vaginismus: An Analysis Based on Patient Medical Records" Female Pelvic Medicine & Reconstructive Surgery, 2014, Suppl 20:S 298
Pacik PT OnabotulinumtoxinA as Part of a Multimodal Program to treat Vaginismus Journal of Applied Biobehavioral Research, March2015 DOI: 10.1111/jabr.12037
Pacik, PT Understanding and Treating Vaginismus: A Multimodal Approach. Obstetrical & Gynecological Survey, (2015) 70:314-316.
Pacik PT, Villemure E, Bognor A A multidisciplinary Approach to the Treatment of Vaginismus. Clinical Commentary J. Women’s Health Physical Therapy, In press
Pacik, PT, Geletta, S. Vaginismus Treatment: Clinical Trials Follow Up 241 Patients Sexual Medicine Open Access (free publication) April 2017, DOI: 10.1016/j.esxm.2017.02.002
Pacik PT "Breast Reconstruction Following Mastectomy for Carcinoma," by W.M. Cocke, MD; Published by Little, Brown, 1977
"New Ways to Keep Cosmetic Surgery Patients Comfortable," by Dianne Taylor, Contributing Editor; Outpatient Surgery Magazine, September 2005.
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