Thank you for this post. This is one of my questions I planned to ask, as compared to many of the stories here, it seems mine is “not that bad”. As I can use tampons (sometimes with pain) and do Pap smears. I can even have sex, but getting in at first is quite uncomfortable and by then I’ve tensed up worse, so I don’t enjoy it anymore, a vicious cycle I know, that is really hurting my marriage. Anyway, I appreciate your words, as I was thinking maybe mine wasn’t severe enough to warrant Botox and I should just keep trying or go back to physio. I only finally got diagnosed 2 weeks ago after 5+ years. To the severe cases out there, I can’t begin to imagine and I feel for you!! <3