Hi Allie! I’ve seen your posts elsewhere on the forum and just wanted to say hello again. The hymen is SOMETIMES a partial cause of vaginal pain/vaginismus but not always. Often women break their hymens on their own even before sex (through anything from using a tampon to horseback riding) but sometimes it can cause pain and obstruction. A gynecologist can look and see if your hymen seems unusual, and if you get the botox procedure, your hymen will be broken in the process. It may not be the reason for your pain though, so you may have to see a gyno to learn more.