Dr. Pacik

Thank you for your post and your kind words. My experience is that when women have long term vaginismus and in addition do not respond to pelvic floor physiotherapy, the best course is to come to the US and have the Botox treatment under anesthesia. The anesthetic removes the fear and anxiety related to penetration allowing the woman to continue her dilation after she wakes up. This is often a turning point and a likely successful outcome.