I’m from Asia where treatment for vaginismus is limited. My OBGYN suggested I do vaginal Botox injection under anesthesia with Hymenectomy since it was even impossible for my doctor to examine me. Unfortunately, this treatment is not covered in my insurance. I have to pay USD4,100 for the procedure and I purchased 1 medium size silicon dilator for USD230. The botox injections helps since I am able to insert a dilator now. Unfortunately, I am still working on penetration with my partner. I’m thinking to see a physiotherapist if no progress on my dilator treatment. I hope this helps! Good luck on your chosen treatment.