[Aimee Goldman, RWHNP]

Jack-Please reassure your wife that Vaginismus can be cured and that she is not alone. My hunch is that she never initiates sex because she is suffering from both anxiety and despair surrounding Vaginismus.
Having you as a supportive partner will make the recovery process so much easier.
I think that she would benefit a lot from a 10 minute free consult that we provide here at Maze.
Encourage her to reach out to us when she feels ready.
Wishing you much success as you and your wife take the first steps to overcome Vaginismus.

[Aimee Goldman, RWHNP]

Hi Chloemorris
How wonderful that you were able to get the help you needed for Vaginismus. We are always happy to hear success stories.
Sounds as if you are doing great.
As you are doing, continue to dilate before intercourse to ensure pain free intercourse.
Thank you for sharing your story.
It is great to know that women in England can be treated for Vaginismus without having to travel too far.
Keep up the good work and continue to share your message so that more women can seek the help they need to overcome Vaginismus.

[Aimee Goldman, RWHNP]

An internal vibrator is a great option. We recently purchased a new one that we use when patients are comfortable inserting the larger dilators. It is called Inspire and it is from the company Sinclair Select. It has multi-speeds and is smooth and supple.
Agree that consistent dilation is the key to success!

[Aimee Goldman, RWHNP]

Hi Swimmer30-Welcome to the forum. At Maze, our treatment plan usually involves meetings with a therapist along with dilation. It is equally important to address the psychosocial aspect of Vaginismus along with the physical part of Vaginismus. They most often go hand in hand..
Keep in mind that you are not alone and you can be helped.

[Aimee Goldman, RWHNP]

It is possible to get pregnant with an intact hymen. Sperm can swim through even the smallest opening.
Although it is possible the odds of getting pregnant with an intact hymen are still small.
Treating Vaginismus first is usually recommended prior to attempting pregnancy.

[Aimee Goldman, RWHNP]

Hi Aliyat-Welcome to the forum. The anxiety you feel about penetration of any kind is must probably Vaginismus.
In Vaginismus , the patient presents with anxiety and aversion to penetration. This in turn leads to what we call “high pelvic tone” and tight vaginal muscles. All of this is involuntary so telling a patient to relax is not a reasonable response to patients with Vaginismus.
The good news is that you found our forum and you can be helped.
At Maze we offer a free 10 minute consult. We are here to help you.

[Aimee Goldman, RWHNP]

Hi KGilbert13- Just checking in to see how you are doing. I hope that you took the first step in seeking treatment for
Vaginismus. The first step is always the hardest as it involves acknowledgement of Vaginismus. Seems as if you have done this already
Let me know if there is any way I can help you navigate the treatment options for Vaginismus.
We are here for you and rooting you on every step of the way.

[Aimee Goldman, RWHNP]

Hi Twinkle-Congratulations on your pregnancy-such an exciting time for you.
As far as dilation- we generally tell our patients not to dilate during pregnancy. Of course you can run this by your obstetrician to confirm. Again, much luck on this new chapter in your life!

[Aimee Goldman, RWHNP]

This makes me so happy. Your words of encouragement are incredibly powerful. It is so nice to hear from someone who has undergone the botox treatment and is able to have both pain-free and enjoyable intercourse. All your hard work paid off.
If you are new to our Vaginismus forum and you have not yet been treated, do offer a free 10 minute phone consult.
Vaginismus is treatable and you are not alone.

[Aimee Goldman, RWHNP]

Welcome to the forum. I think it is great that you were able to progress in terms of dilation and relatively pain free intercourse.
As you mentioned Diabetes can often cause recurrent yeast infections. We prescribe Diflucan 150 mg for one dose. We then repeat this dose both 3 days and 7 days after the initial dose.With recurrent yeast infections we find that maintenance control is necessary to fully treat recurrent yeast infections. In maintenance treatment we give Diflucan 150 mg once a month for a 6 month period.
I hope this is helpful to you.
As far as pregnancy , 37 is the new 27..Having PCOS is no longer as big an obstacle to pregnancy as once thought.
Hang in there!

[Aimee Goldman, RWHNP]

I have seen a gradual increase in Vaginismus awareness. Many of the referrals I get at Maze are from primary gynecologists who are familiar with Vaginismus but unsure how to treat it. I am optimistic that in time Vaginismus will no longer be an enigma in the medical community.
Maybe physicians are being trained about Vaginismus in medical school or during residency. In the meantime, continue to talk about Vaginismus openly and honestly. Get the word out that it can be treated and that no one should have to suffer in silence.

[Aimee Goldman, RWHNP]

Hi Christine
My advice is to dilate right before you have intercourse. We suggest to not have intercourse until you can comfortably dilate one size larger than your partners penis.
Make sure to use plenty of lubrication as well.
Good luck!!

[Aimee Goldman, RWHNP]

I agree with Melissa. A free 10 minute consult with us is a great way to start.
With the consult we validate how you are feeling and let you know that you are not alone. Sometimes the first step is the hardest one to take. We can walk you through different treatment plans that we have found to be successful in treating patients with Vaginismus.
I am so happy that you found your way to our forum. Welcome.

[Aimee Goldman, RWHNP]

Hi Merida
I am so happy that you reached out to us on the forum. At Maze we treat women with all different degrees of Vaginismus.
From the most severe cases to mild ones.
We believe that consistent dilation is the key to success. Like you were doing-dilate 10-15 minutes a day. When you are comfortable with the smaller dilators then we suggest you move up to the next size. We also suggest that you dilate on your period too! If you ever feel overwhelmed with dilation it is important to use the smaller dilators rather than not dilating at all.
Make sure that you use enough lubricant during dilation. We love coconut oil as the lubricant. After you have been consistently dilating if you still feel stuck then we often suggest Pelvic Floor Physical Therapy. Most of the pelvic floor physical therapists do dilation along with massaging tight vaginal muscles.
Another thing, we often give our patients vaginal diazepam to further help to relax tight muscles.
I think it is great that you are seeking help. Stay strong and positive!!!

[Aimee Goldman, RWHNP]

Hi Rooddood
Vaginismus can be so over whelming. I think it is great that you are being so supportive and patient.
My advice is to begin dilation with the smallest dilators in the set. We tell our patients to try and dilate for 10 minutes each day. We do not recommend using the larger dilators until she is comfortable inserting the smaller dilators.
The same thing goes for intercourse. We feel that she should be able to comfortably dilate with the dilator that is one size bigger than your penis before attempting intercourse.
In addition, we often give vaginal Diazepam suppositories to further help relax tense vaginal muscles.
I hope this is helpful to you and your partner.
Do not despair or lose hope. Vaginismus can be treated!

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