I’m also confused by my GYN’s recommendation for a pelvic exam under anesthesia. Won’t it still be blocked down there with or without sedation? How will they be able to perform an exam while my muscles are in spasm? Does the anesthesia relax the muscles? If so, what is the need for botox in Dr. Pacik’s procedure? Why not just insert a dialator under anesthesia without botox??? Wouldn’t it work the same way? I’d be more comfortable doing it that way. Just curious.