Vaginismus Treatment with Intravaginal Botox and Dilation Under Anesthesia. A Prospective Study of 70 Consecutive Patients.

A five-year prospective study of 70 consecutive patients who had vaginismus treatment, demonstrated the efficacy of intravaginal Botox, progressive dilation under anesthesia and post-procedure supervised dilation, counseling and follow up. VIEW PUBLICATION

Vaginismus: Review of Current Concepts and Treatment Using Botox Injections, Bupivacaine Injections, and Progressive Dilation with the Patient Under Anesthesia

In this publication Dr. Pacik discusses hisFDA approved pilot study using Botox, long acting local anesthetic injections and progressive dilation under anesthesia for vaginismus treatment. The current vaginismus literature is reviewed. The importance of properly classifying the severity of vaginismus, according to the Lamont and Pacik classifications, is discussed. VIEW PUBLICATION

I Botoxed My Vagina

Cosmopolitan Magazine, Pages 164-165, November 2011. A story of vaginismus and vaginismus treatment of one of Dr. Pacik’s treated patients who had a combination of vaginismus and vulvodynia for eight years as told to the staff of Cosmopolitan. She was treated using the Botox program for vaginismus and describes her progress. In her desire to advocate for other women suffering from vaginismus, she wanted to tell her story to Cosmo. VIEW PUBLICATION

Viewpoint: Vaginismus Treatment using Botox

Vaginismus treatment using a relatively new concept of treating spastic vaginal muscles with Botox is described in this 2009 article. Uncontrolled involuntary spasm of the vagina makes intercourse impossible or very painful. Vaginismus is thought to occur because of an extreme fear of intercourse due to the thought that it will be very painful. The results of our first 20 patients are discussed in this article. Our patients continue to experience a success rate of over 90 percent following vaginismus treatment with Botox. VIEW PUBLICATION

FDA Approves Vaginismus Treatment Using Botox

On August 11, 2010, plastic surgeon Peter T. Pacik, MD, FACS, received notification that the FDA approved his proposed study of a comprehensive program of vaginismus treatment using intravaginal Botox injections and progressive dilation under anesthesia to treat primary vaginismus (IND 109343). The FDA-approved treatment study includes Botox injections delivered to the spastic muscles inside the vagina, combined with progressive dilation under anesthesia and supervised dilation post procedure. The program also includes post treatment support, as patients transition from dilators to intercourse. Significant follow-up data will be included. The study is registered with ClinicalTrials.gov. VIEW PUBLICATION

Treatment of vaginismus with onabotulinumtoxinA: results from a pilot study.

The botox program using intravaginal Botox injections, bupivacaine injections and progressive dilation under anesthesia has been shown to be effective in 97% of vaginismus patients in a FDA approved pilot study as presented to the 34th Annual Scientific Meeting of the American Urogynecologic Society on October 18, 2013. VIEW PUBLICATION

Botox Treatment Program to Cure Vaginismus Successful in over 90% of Patients

On January 13, 2013, Peter T. Pacik, MD, FACS the leading expert on using BOTOX® injections to treat women with vaginismus, announced his findings in treating over 250 patients. Since 2005 Dr. Pacik has treated over 250 patients from across the world in his office in Manchester, New Hampshire. His success rate in treating patients with vaginismus is over 90%. VIEW PUBLICATION

Vaginismus Another Ignored Problem

In this Letter to the Editor, Dr. Pacik discusses that vaginismus is another field of female sexual dysfunction that continues to be ignored by many medical schools, residency programs and is rarely discussed at medical meetings. When a patient complains that attempted intercourse feels like it is “hitting a wall”, suggestive of spasm at the level of the introitus, this is a symptom that helps differentiate vaginismus from dyspareunia, vulvodynia and provoked vestibulodynia. VIEW PUBLICATION