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Speaking as someone who has had the botox treatment at the Maze clinic, being unconscious was super helpful to me personally as my response whenever someone tried to examine me was basically to jump off the table, my penetration anxiety was so bad. Like Melissa said, I think which type of procedure is right for you would depend on the severity of your vaginismus and the extent to which your issues relate to anxiety and fear rather than just muscle tightness. Just know there are facilities across the country that offer either option, so both treatment types are out there!