Dr. Pacik

Update Retirement

As a follow up I would like the members of the Forum to know that my retirement date was 9/1/2015. I have trained two different groups in NY who are using my technique of Botox, progressive dilation and counseling. I would be happy to make referrals for those interested. I expect to train more doctors around the US as a result of upcoming lectures planned.


My goal during retirement is to make vaginismus more well known among doctors and the general public. I have a number of scientific papers that will be submitted for publication and I am working with a university team that I trained in New York to facilitate this. Our intention is to have vaginismus become a part of the medical school curriculum and for GYN’s to be taught about this condition.

Self Assessment

I also plan to develop a system whereby women can self assess the severity of their vaginismus which has an impact on the type of therapy that may be helpful. From evaluating more than 550 women and treating 391 patients patterns of severity are evident. For women whose fear and anxiety to intercourse and GYN exams are overwhelming and who have never been able to tolerate any level of penetration, Pacik level 5 vaginismus http://www.vaginismusmd.com/vaginismus/lamont-classification/
it would be best to have treatment using the Botox multimodal program with a group that I have trained. (There are some physicians who simply inject Botox without progressive dilation or counseling. This approach is not recommended as there is a high rate of failure.) On the other end of the spectrum are women who are unable to have intercourse or a GYN exam but who are able to have some penetration with tampons, finger and perhaps the smaller dilators. These women who have a less severe form of vaginismus, and also less fear and anxiety, can often be treated using dilators and by watching my DVD “The Ins and Outs of Dilation” which can be ordered through my office. This two hour video explains the use of dilators for self treatment. Once the office is closed (9/21/15) glass dilators and the DVD can be ordered from Shellie at CrystalDelights.com. https://crystaldelights.com/ Shellie, Ellen and I developed the design of the glass dilators and tested a number of models to arrive at the shape currently used. They are available in sizes 3-8 and normally come as a set of 4, 5, and 6 which are adequate for most women [url] http://www.vaginismusmd.com/aidsproducts/dilators/pacik-glass-dilators-set-of-3/%5B/url%5D She manufactures the glass dilators at her site and sells worldwide. Many commentaries have been posted on the Forum regarding the benefits of these shorter glass dilators.
Physical therapy by a pelvic floor specialist and sex counseling with someone familiar with vaginismus can also be helpful in this less severe group of women.


My book explaining vaginismus “When Sex Seems Impossible. Stories of Vaginismus & How you can Achieve Intimacy” will continue to be available in both Kindle and book form through Amazon.com
For those who read the book I encourage you to write a review on Amazon to make vaginismus more well known.

Janet and I will be sending out a newsletter soon for more information.
It has been a joy working with the many brave women who persist in having normal relationships against all odds. This has been one of the best chapters in my many years of practice. I encourage all of you to continue posting to help those who are still struggling. We must continue our conversation about vaginismus so that women do not feel isolated with something neither they or their partners understand.