Vaginismus Treatment in Beverly Hills, CA

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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 Neuromodulators, 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, Neuromodulator-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 Neuromodulators 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.



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.  


 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. 


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 



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.


Neuromodulators are 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 Neuromodulators, 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 Neuromodulator TREATMENT. Most Women who have seen Dr Schwartz go on to have normal vaginal penetration and sex lives after just one treatment.


vaginismus FAQs

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. 

why botox?

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.

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