Understanding & Treating Vaginismus: For Doctors


Understanding & Treating Vaginismus: For Doctors

Add To Cart

This video is delivered as a digital download.

During the professional lectures I have given, I often had questions regarding the specifics of the Botox multimodal treatment program for vaginismus. For this reason, I created a brief 10-minute film to help doctors understand the Botox multimodal program for the treatment of vaginismus. It is vital to understand that there is much more to the treatment of these women than simply injecting Botox and additional research needs to be done by physicians who plan to use this form of therapy.

Table of contents:

  • Intro. Pacik publication
  • Cotton tipped testing
  • Finger exam for spasm, evaluation of hymenal ring
  • Hymenal ring evaluation
  • Botox dosing
  • Botox injection sites
  • Bupivacaine injections
  • Progressive dilation
  • End of procedure, re-examine
  • Recovery room
  • Pacik glass dilators images
  • Counseling

See also:

    Pacik PT. Understanding and treating vaginismus: A multimodal approach. International Urogynecology Journal2014; 25 (12), DOI: 10.1007/s00192-014-2421-y

Note: Post procedure counseling is important for the successful treatment of these women and can be done by either the clinician or a trained therapist. Though Botox and progressive dilation under conscious sedation usually helps the vaginal spasm, there continues to be severe anxiety and fear to penetration which will require psychologic treatment and support.


The information on the Understanding & Treating Vaginismus: For Doctors (video) is for educational purposes only and not intended as treatments. The content of this website is based on my many years of treating women with vaginismus. As a retired physician I am no longer treating patients nor do I do consultations. I continue to advocate for women with vaginismus and continue to write scientific publications to teach clinicians how to treat these women. I do feel that any woman with vaginismus is capable of doing her own research to better understand this medical condition.