15-minute Sample from Understanding & Treating Vaginismus

Watch this sample and get a feel for the kind of information that is included in the 1-hour video. Click the "Buy the Video" button on your right. Price: $25.00

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.


About the book: When Sex Seems Impossible

Meet the authors and listen to a book review. This video will introduce viewers to the authors of the vaginismus treatment book “When Sex Seems Impossible.” Learn about vaginismus symptoms, discover vaginismus treatment options, and begin a journey toward a vaginismus cure with the book.


Dr. Pacik and Dr. Rhea Orion on vaginismus

NOTE: Dr. Pacik is now retired. Please ignore all references to the website PlasticSurgeryPA and the contact email and phone number as the practice is now closed.

Part 1: Early signs and diagnosis of vaginismus. This video discusses the prevalence of vaginismus and how women do not discuss the condition. It is cross-cultural, affecting 1-6 percent of women around the world. Counseling, difficulty in diagnosis, and a definition of vaginismus are discussed. This video will help to answer the question, “What is vaginismus?”

Part 2: Classifying the severity of vaginismus, treatment with Botox and dilators. This video discusses the spectrum of painful intercourse from pain with intercourse to the overall inability to have intercourse because of severe pain and fear. The Lamont classification grades the severity of vaginismus from the milder level 1 conditions to the more severe level 4 conditions. The value of Botox treatment for vaginismus and vaginismus treatment with dilators done under anesthesia is explained, as well as post-procedure therapy to help the woman ultimately transition from dilators to intercourse.

Part 3: Advancing to intercourse after Botox Treatment for Vaginismus. This video continues the discussion of transitioning from dilators to intercourse after Botox treatment for vaginismus. Insurance coverage is common because vaginismus is classified as a sexual pain disorder. Difficulties that husbands have with vaginismus are discussed.


A Patient's Experience

NOTE: Dr. Pacik is now retired. Please ignore all references to the website PlasticSurgeryPA and the contact email and phone number as the practice is now closed.

Case history and patient interview. This two part YouTube video is an interview of a 27 year old patient who struggled with vaginismus for the two and a half years of her marriage. Attempted physical therapy on two separate occasions over a span of two years was successful in allowing her to achieve penetration; however, she was unable to progress beyond the small dilators. Biofeedback at the time of PT showed that she was unable to relax her pelvis. Attempts at intercourse resulted in severe burning “as though my skin was being broken.” Her marriage was on the verge of a divorce.

She was treated under anesthesia using Botox injections and progressive dilation for vaginismus. At the time of examination under anesthesia, she had maximum spasm of the entry muscle. She awakened in the recovery room with the largest dilator and spent the next week dilating and sleeping with the medium sized dilator. She achieved intercourse at 6 days. She is now 8 months following her treatment. Repeat post treatment studies by PT now showed normal pelvic muscular tone. She discusses her experiences using dilators and even after 8 months feels that continued dilation is important to avoid regression. She notes the “The dilator is your best friend.” She has counseled many of our patients, and with her fluency in Portuguese, she was very helpful supporting a patient who flew in from Portugal. She has become an advocate for women with vaginismus and volunteered to be interviewed for this video.