Vaginismus: First Time Intercourse

For women who have suffered with vaginismus, the idea of first time intercourse can be an extremely scary thought! Dr. Peter Pacik, MD, FACS, who pioneered the Botox procedure for vaginismus with progressive vaginal dilation, and has trained our staff, shares his insights. Dr. Pacik writes: Perhaps one of the most difficult challenges that vaginismus …

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Are you done when he’s done?

It happened again today. A patient told me she was enjoying sex with her husband but that sometimes it was a little bit frustrating. When I asked her to explain she said “Well sometimes I don’t orgasm before he does or sometime I do orgasm before we have intercourse but then he has an orgasm …

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Sex during pregnancy.

For the most part, sex during pregnancy really shouldn’t be all that different from sex at other times. Sex is safe, fun and a great way to celebrate this special time in your life with your partner. However, here are some things to keep in mind: If your doctor gives you specific instructions, it’s important …

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The pajama party.

I did a television interview last week. It was totally fun and totally unusual. It involved sitting on a waterbed. I kid you not. So here’s the premise — this new talk show has a bunch (four, to be precise) of absolutely adorable 20-somethings in PJ’s sitting around talking about sex. And me. Just to set …

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15 top medical organizations agree on hormone therapy use.

A statement was released recently from the American Society for Reproductive Medicine, the North American Menopause Society, and the Endocrine Society regarding the use of hormone therapy for symptomatic menopausal women. Over the past 10 years, there has been a lot of confusion among experts regarding hormone therapy which led many women to believe it …

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Condom mania.

I am often asked about my recommendation for condoms, so I figured I’d do some research and let you know what’s out there. Condoms are made from different materials — latex, polyurethane, polyisoprene, and lambskin. There are certain things you must consider when choosing a condom: Are you or your partner allergic to latex? Are …

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How long is too long?

I am referring to how long penetration should optimally last. Many women I see at the Center have pain with intercourse. Pain during intercourse can come from many things: dryness, low hormone levels, vaginismus and/or vulvodynia. Sometimes pain is simply the result of intercourse lasting too long. So when I see a patient who is …

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College orgasms — he said, she said.

I gave a lecture on Female Sexuality and Empowerment to a group of college students the other day. To my surprise, there were more men than women in the group. As the group was smaller in size than expected, we were able to have a more interactive discussion. The group was enthusiastic about learning about …

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