Vaginismus – Using Botox as a treatment option

What is Vaginismus?

It is a condition where the muscles around the vagina persistently contract when attempting any form of penetration around the vaginal area. This makes it difficult to have sexual intercourse, inserting tampons or any gynecological exam as it is very painful for the woman. Pain severity can vary from mild to severe.

What are the types of Vaginismus?

Primary Vaginismus:

This is when the pain occurred every time an attempt was made to insert something in the vagina, that is, during penetrative sex, inserting tampons, or even for any gynecological exam.

Secondary Vaginismus:

This form is also known as acquired vaginismus where the woman would have had a normal sexual function before but later at some stage of life due to specific events like an infection, menopause, trauma, childbirth or even relationship issues vaginismus could have developed.

Global Vaginismus:

Vaginismus is always present and can be triggered by any circumstance.

Situational Vaginismus:

This is when vaginismus occurs only during certain situations and not always, that is, either during intercourse or when inserting tampons or during a gynecological exam but not in all situations.

What are the symptoms of Vaginismus?

  • Having a burning or stinging feeling when inserting anything into the vagina
  • Having pain during sex (Dyspareunia)
  • Having pain when inserting tampon
  • Difficult to or not able to have penetrative sex
  • Difficulty in having a pelvic/gynecological exam

What are the causes for having Vaginismus?

  • Emotional factors
  • Past sexual abuse or trauma
  • Bad first intercourse which was very painful
  • Onset of menopause
  • Yeast or urinary infections
  • Painful gynecological exam in the past

Treatment for Vaginismus

Various treatments include pelvic floor exercise, relaxation techniques, education and counselling. Currently, Botox treatment is also found to be effective to an extent.

Botox treatment for Vaginismus

In this treatment, Botox is injected into the muscles that wrap the vagina which prevents penetration. The presence of Botox prevents the muscles from contracting, helps for initial relaxation and lack of pain. As a result, once the woman is able to have sex without pain she will be able to relax and in turn, the muscles will also learn to relax on its own. The effect of Botox usually lasts for 3 to 4 months. By this time, it would be possible to use the dilators and increase the tolerance of the vagina and help the woman to have comfortable sex with reduced or no pain and get used to sensation without tensing up. Any side effect if any chance at all is urinary incontinence.

For more details, contact us.

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