"When Sex Seems Impossible. Stories of Vaginismus and How You Can Achieve Intimacy" by Peter T. Pacik, MD, FACS

Understanding and Treating Vaginismus:

A study by Peter T. Pacik, MD, FACS, shows a 90+% success rate in treating vaginismus, a condition which many health care providers fail to recognize yet effects between 1 and 7 percent of all women worldwide. This multimodal approach for the treatment of vaginismus expands on a prior FDA approval for research in this field. Treatment utilizes a combination of BOTOX® injections and progressive dilation under anesthesia as well as post procedure supervised dilation, and sex counseling to produce results.


Understanding and Treating Vaginismus is a one-hour film to help women understand vaginismus. The film is based on my many years of experience evaluating women with sexual pain and treating vaginismus. Though I developed the concept of the Pacik multimodal program and received FDA approval for continued research, I nevertheless felt that there was still a great deal of information missing from various websites, especially the concept of self-evaluation and self-treatment of vaginismus for the less severe forms of vaginismus. This video fills in all those gaps and provides a comprehensive overview of vaginismus and treatments for vaginismus.

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.

Centers trained by Dr. Pacik

Corey R. Babb, DO, FACOOG
Oklahoma State University, Tulsa OK
Department of Obstetrics & Gynecology

Lawrence Lind, MD
Division of Female Pelvic Medicine
Northwell Health, Great Neck, NY

Maze Women's Sexual Health
Dr. Bat Sheva Marcus LCSW, MPH, PhD 
Dr. Michael Werner
Purchase, New York

Dr. Robbi Asri Wicaksono, SpOG
Bandung, West Java, Indonesia
Cell: +6281220839902


Australia: Jason Abbott, MD
PO Box 353, St Pauls NSW 2031
T 02 9009 5255

Australia: Dr. J. Chow
WHRIA, Level 12, 97 to 99 Bathurst St, Sydney 2000
T 1300 722 206

Egypt: Dr. Amr Seifeldin | Egypt UroGyn Clinic
25, Gamet El Dowal El Arabia st (I.H.Hospital)
Mohandessine - Giza, Cairo - Egypt
Tel: +201005250230 and +201223675300

Italy: Alessandra Graziottin, MD OB-GYN
Via Enrico Panzacchi, 6, 20123, Milano, Italy
T 39 02 7200 2177

Mexico: Ricardo H. Asch Schuff, M.D.
Mexico City, Mexico
T 011-52-1-5533316910

United Kingdom: The James Cook University Hospital
Martin Road, Middlesbrough TS4 3BW


Lady's Sparrow Foundation, is a public charity with a mission of shining a light on vaginismus and giving back hope and courage to the women and their loved ones suffering. For more information on their programs, resources, or how to get involved please visit their website. Please become a Patron. There are many women in need who cannot afford treatment.

Sex Counseling

To Find a Local Sex Therapist by state:
AASECT  American Association of Sexuality Educators, Counselors, and Therapists. 

Anita P. Hoffer, MS, PhD, EdD
Brookline, MA
In-person & Remote Sex Counseling via Skype
T 617.277.2090    Mobile  617.759.6884

Deborah Neel, PhD
Raleigh, NC • Christian Sex Counseling
T 919.781.8810

Rhea Orion, PhD, LMFT, CST
Dixon & Napa, CA
T 707.676.5678 

Israel, Tel Aviv: Talli Y. Rosenbaum, MSc., PT
Associate Editor, Journal of Sexual Medicine

Physical therapY specializing in pelvic floor dysfunction

To Find a Local Physical Therapist by state:
 American Physical Therapy Association.

Heather Jeffcoat, DPT
Los Angeles, CA
Dilation recommendations
T 818.864.6732
Author: Sex Without Pain: A Self-Treatment Guide to the Sex Life Your Deserve

Erika Villemure, MPT
Manchester, NH
T 603.663.3670

Dr. Mercedes Blanquet
Barcelona, Spain

Pacik Glass dilators