Recent posts

How to Use Vaginal Dilators for Vaginismus

When I taped The Tyra Banks Show episode about vaginismus and other conditions that make sex feel painful if not impossible for women to experience, I was given the opportunity to provide more in-depth information about vaginismus on a behind-the-scenes video. In this video, I was also able to share a few tips about using vaginal dilators as part of treatment for vaginismus including what to look for in a dilator (e.g., smooth, flexible dilators of varying sizes) and how women use them. In addition, information is provided about other types of treatments (such as cognitive-behavioral based sex therapy) that are sometimes to help women and couples address vaginismus and other causes of painful sex. You can watch the video on The Tyra Banks Show’s web site by clicking here and find the Pure Romance vaginal dilators I showed in the video by clicking here. More detailed information about dilator use can be found in the informational pamphlet that I wrote and that is included in the dilator set (Note: Although I participated in the design process of the dilators, I do not profit from sale of the dilator set!). Continue Reading →

Vaginismus: 6 Facts You Should Know

On today’s “Married Virgins” episode of The Tyra Banks Show, you can find me providing information about a condition called vaginismus that often prevents women from being able to have intercourse. Here are 6 key facts you should know about vaginismus:

1. Although vaginismus has long been described as being caused by involuntary muscle spasms that prevent a woman from being able to accept penetration of a finger, sex toy, tampon or a man’s penis, researchers have not always been able to identify these “muscle spasms”. It may be that some women who are diagnosed with vaginismus have been misdiagnosed, or it may be that muscle spasms are not actually the cause of vaginismus, or at least not the cause of all cases of vaginismus. 2. Continue Reading →

Botox treatment for Vaginismus: Is it safe? Does it work?

Recently the use of Botox for vaginismus has been a hot topic in some circles. Vaginismus is a condition that is sometimes described as uncontrollable muscle spasms that prevent women from being able to comfortably have vaginal intercourse or, sometimes, other forms of vaginal penetration including tampon use and gyn exams. (A difficulty with this description, however, is that vaginal spasms have not been found to be the most effective diagnostic predictors of vaginismus, and controversy continues to swirl around how vaginismus is similar to or different from other vaginal pain disorders.)

But on to Botox and what it has to do with vaginismus, since most people think of Botox as being used for cosmetic purposes as a facial injection. In fact, Botox has been used in many “off-label” ways – for example, research has shown that some healthcare providers have used it to effectively treat sweat gland disorders in the underarm and genital areas. It’s also been used to treat certain types of urge incontinence (peeing when one doesn’t intend to pee). One of these off-label (read: not FDA approved) uses of Botox has been to treat vaginismus. Continue Reading →