Hi Nakitalab – I’m so sorry to hear that your pain has returned. This all sounds very hard and you’re brave for having endured it all, including cancer! I’ve only ever had botox once but it sounds like it could be a good idea for you, especially since some of the emotions associated with vaginismus are coming back. Although it also sounds like you are also having success with dilating, so you may just need more time to heal from the pain of your surgeries and medical issues. I’m sure one of the doctors on this forum can tell you more about what they think is going on medically, but botox could well be an option for you once again!