Vaginismus Treatment Overview
Vaginismus can happen at any point in life, and is characterized by painful contractions which make any attempt at vaginal penetration feel as if there is a wall for a barrier to the vaginal canal. It is typically due to a combination of physical and non-physical stressors that elicit the body to anticipate pain. There are two main forms of the condition:
- Primary vaginismus is a lifetime condition where pain has always been present during any attempt at vaginal penetration.
- Secondary vaginismus is vaginal tightness or pain with penetration that has occurred after normal sexual function.
Board Certified Beverly Hills Plastic Surgeon Dr. Jaime Schwartz has developed a specialized treatment plan for vaginismus that can be used alongside the care you might already be receiving. The treatment utilizes BOTOX, injected into the pelvic floor muscles to relax the area and break the pain cycle.
We’ve seen a 97% success rate following this procedure, and most women go on to experience normal vaginal penetration and sex lives after just one treatment.
Schedule a free, personalized consultation today to learn how Dr. Schwartz's unique, BOTOX-based treatment can help you break the pain cycle.
what is vaginismus?
Women from around the world have been undergone long-lasting Vaginismus treatment with Botox by Board Certified Plastic Beverly Hills Plastic Surgeon Dr Jaime Schwartz.
Vaginismus is a condition characterized by spastic, painful and uncontrollable contractions of the vaginal muscles, which makes any attempt at penetration feel as if there is a wall for barrier to the vaginal canal .
Women who suffer from this physical and psychological disorder may experience pain during sexual intercourse, gynecological exams or while inserting tampons. They also tend to experience fear and anxiety that causes them to panic and withdraw from the situations.
Vaginismus is a severe and ongoing tightness of the pelvic floor muscles that can cause burning, discomfort, pain and even the inability for penetration and intercourse. This is due to involuntary tightening of the pelvic floor muscles mainly the Pubococcygeus (PC) muscle group. Dr. Schwartz explains the pain of this condition by imagining you had a tight neck or shoulder muscle for most of your life. This would cause pain and inflammation not only when you touch the muscle but also if you attempt to touch the surrounding areas.
Most women may be unaware of Vaginismus or that they may have extremely tight pelvic floor muscles leading to sexual pain known as dyspareunia. Dyspareunia is persistent or recurrent genital pain that occurs before, during or after intercourse. Some of the causes could be as inadequate lubrication, rough sex, trauma or negative feelings about their partner. However, It is thought that anywhere from 5-15% of women who present with dyspareunia may have vaginismus. It also believed that vaginismus may be a primary cause of sexless and unconsummated marriages.
Since Vaginismus is not a commonly diagnosed disorder, another issue that countless women have conveyed to Dr. Schwartz is that when asking other physicians for help they have been told to “Have a Drink and Relax” to have sex rather than dealing with the pelvic floor tightening.
This is why Board Certified Beverly Hills Plastic Surgeon Dr. Jaime Schwartz has developed a technique for targeting the pelvic floor muscles With Botox to relax them and BREAK THE PAIN CYCLE.
CAUSES OF VAGINISMUS
Vaginismus can happen at any point in life. Some find it as an inability early on to place tampons or undergo gynecological exams. For others it can happen years later after having normal sexual relationships.
Vaginismus is a diagnosis of exclusion that may be caused by physical and/or non-physical stressors. It is also divided into primary and secondary Vaginismus.
Primary vaginismus is a lifetime condition where pain has always been present during any attempt at vaginal penetration. It is often experienced during a woman’s first attempt at tampon placement or vaginal intercourse.
This is the main cause of sexless, unconsummated marriages
Secondary pageant is Miss is vaginal tightness or pain with penetration that occurs in a woman who has had previous normal sexual function
This can be due to infection, menopause, a traumatic event, development of a medical condition, relationship issues, surgery or childbirth
Examples of physical causes of vaginismus
urinary tract infections or urination problems, Yeast Infections, sexually transmitted disease, endometriosis, genital or pelvic tumor’s, cysts, cancer, vulvodynia, vestibuoldynia, pelvic inflammatory disease, lichen planus, lichen sclerosis, eczema, psoriasis, vaginal prolapse etc.
Pain from normal or difficult vaginal deliveries and complications, C-sections, miscarriages etc.
AGE RELATED CHANGES:
Menopause and hormonal changes, vaginal dryness / inadequate lubrication, vaginal atrophy
Temporary pain or discomfort resulting from insufficient for play, in adequate vaginal lubrication etc.
Any type of pelvic surgery, difficult pelvic examination‘s or other pelvic trauma
Physical attack, rape, sexual / physical abuse or assault
Any side effects that may cause pelvic pain
Fear or anticipation of intercourse pain, fear of not being completely physically healed following pelvic trauma, fear of tissue damage i.e. being torn, fear of getting pregnant, concerned that a pelvic medical problem may occur etc.
ANXIETY OR STRESS
General anxiety, performance pressures, previous unpleasant sexual experiences, negativity toward sex, guilt, emotional traumas or other unhealthy sexual emotions
Abuse, emotional detachment, fear of commitment, distressed, anxiety about being vulnerable, losing control etc.
Past emotional / sexual abuse, witness of violence or abuse, repressed memories
Overly rigid parenting, unbalanced religious teaching i.e. sex is bad, exposure to shocking sexual imagery, in adequate sex education
Vaginismus may be a diagnosis of exclusion where there may not be an identifiable cause, physical or non-physical.
Vaginismus is is typically due to a combination of physical and nonphysical stressors that elicit the body to anticipate pain
CYCLE OF PAIN:
1. The Body Anticipates Pain
2. Involuntary Pelvic Muscle Tightening
3. Painful Sex or Impossible Penetration
4. Pain Intensity Reinforces the Muscle Tightening Reflex
5. The Body Reacts by “Bracing”
6. Avoidance of Intimate Situations which can lead to Lack of Desire.
BOTOX is used by Dr Schwartz to “BREAK THE PAIN CYCLE” between Anticipating pain and NOT being able to tighten the pelvic floor muscles. This allows for normal PAIN FREE SEX which over time DECREASES FEARS AND ANXIETIES.
signature Vaginismus treatment
Board Certified Beverly Hills Plastic Surgeon Dr. Jaime Schwartz has developed a specialized treatment plan for vaginismus that can be used alongside the care you are already receiving from your regular doctors or therapists. The treatment utilizes BOTOX, injected into the pelvic floor muscles to relax the area and break the pain cycle. Approximately 10 days after the initial treatment, you can begin dilator use in conjunction with physical therapy. We've seen more than a 97% success rate with 1 BOTOX® TREATMENT. Most Women who have seen Dr Schwartz go on to have normal vaginal penetration and sex lives after just one treatment.
Vaginismus Treatment Reviews
"I came to Dr. Schwartz for botox to treat vaginismus, and my experience was phenomenal. Vaginismus is pain during any kind of vaginal penetration. After 6 years of pain and frustration, there was finally a solution that could help me. A year after the procedure, I am now able to have painless sex, painless pap smears, and I can use tampons. Not to mention all of the staff was incredibly nice and helped calm my nerves during the experience. This procedure changed my life. Thank you, Dr. Schwartz!"- M. / Healthgrades / Mar 04, 2018
"I came to Dr. Schwartz for botox to treat vaginismus, and my experience was phenomenal. Vaginismus is one of those issues that no one talks about, so I had no idea what it was for the longest time. For years, any kind of penetration was extremely painful for me (sex, tampons, pap smears, everything hurt), and my gynecologist couldn't seem to figure out how to help me. My boyfriend and I were frustrated with the lack of solutions for this problem, despite the many online forums that show how many people suffer from vaginismus. We tried a set of dilators meant to train the pelvic floor muscles, but even after a year, we had made little progress. And then, I came across a buzzfeed video. It was about a young woman who went to Dr. Schwartz to treat vaginismus. I suddenly had real hope that I could find a solution! We drove to his business from 4 hours away for this procedure, with all the fears and hopes that came with it. I was nervous that it would hurt, or worse, that it wouldn't work. They treated me so kindly and calmed all my fears by explaining exactly what they would do, and by telling me they were so happy I was having this done because I shouldn't have to live with that kind of pain. They used numbing gel and gave me gas, so I barely felt it, and it was over fairly quickly. I was a little sore the next few days, but then I felt normal again. About a month later, I had painless penetrative sex for the first time. At around the six month mark, when the botox is said to start to wear off, I was afraid I would have pain again, but I think my body had learned how to use the muscles properly, and I had learned not to reflexively fear the pain. It is now almost a year after the procedure, and I can say that I now experience no pain during sex, and I have had a successful pap smear! This procedure changed my life. I only wish someone had told me about Dr. Schwartz sooner. Thank you, Dr. Schwartz!"- M.W. / Yelp / Mar 03, 2018
"30 Year Old Needed Botox for Vaginismus - I had a very positive experience with Dr. Schwartz. I was very anxious about the procedure but his calm and caring disposition put me at ease right away. He wasn't in a rush at all to have the procedure done. He took his time to explain the procedure thoroughly and answered all my questions with patience. The ancillary staff were amazing as well. They held my hand during the procedure and took time before and after to check in on me and make sure I was doing well."- S. / RealSelf / May 20, 2017
"Botox for vaginismus- No more pain! This procedure changed my life! - I came to Dr. Schwartz for botox to treat vaginismus, and my experience was phenomenal. Vaginismus is one of those issues that no one talks about, so I had no idea what it was for the longest time. For years, any kind of penetration was extremely painful for me (sex, tampons, pap smears, everything hurt), and my gynecologist couldn't seem to figure out how to help me. My boyfriend and I were..."- M. / RealSelf / Mar 03, 2018
"botox for vaginismus - I've been dealing with vaginismus since 2012, and I quite honestly didn't even know it was called that until this procedure with Dr. Schwartz was featured on Buzzfeed. My previous gynecologist had merely told me it was a muscle spasm and that I needed physical therapy (which helped but did not work). My good friend had known I was dealing with it and sent me the video as soon as she saw it. I..."- C. / RealSelf / Apr 17, 2018
how long does botox last?
BOTOX remains active in the body for up to four months, but by six months any lingering effects of the drug will disappear. Most vaginismus clients achieve pain-free intercourse by this point and will continue to experience pain-free intercourse in the future.
how fast will it start working
Once injected into the vaginal walls, BOTOX takes about a week for full effect. Dr Schwartz instructs clients receiving Botox for Vaginismus treatment to begin trying the dilators 10 days after injection. If successful, he then recommends trying sexual intercourse.
Single or Multiple Sessions?
In most cases, a single treatment of BOTOX injections can effectively treat vaginismus symptoms.
Although BOTOX is most commonly known for its ability to soften the appearance of facial lines and wrinkles, this cosmetic injectable is a proven muscle relaxant that can weaken or stop any muscle’s ability to contract, including the vaginal muscles. Depending on the severity of a client’s vaginismus and the number of vaginal muscles affected by the condition, BOTOX doses are administered according to the size of the target muscle, so larger muscles require larger doses.
In The Media
With the help of Botox, Dr. Schwartz has helped numerous patients ease the pain of Vaginismus. To watch videos and read articles covering one his patient's experience getting Botox in her vagina, click here.
Plan Your Procedure
- Average Cost
- $5,000 - $7,000
- Recovery Time
- 5-7 days
- Procedure Recovery Location
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