Vaginismus is a condition consisting of involuntary spasm of the vaginal muscles, which causes difficulty with using tampons, tolerating gynecology exams, and having intercourse.

In anticipation of any examination or penetration, the vaginal muscles spasm causing pain on penetration or complete inability to have penetration. Young women beginning to have menstrual cycles may not be able use tampons. A women attempting a first sexual encounter, may find that attempted penetration by her partner is either extremely painful or impossible. Primary Vaginismus, as described in these two scenarios refers to women who have never been able to achieve penetration of ant kind. Secondary Vaginismus refers to a woman who at one time was able to achieve penetration, but then developed Vaginismus at a later time.

There is a psychological component to Vaginismus with fear and anxiety related to penetration is a major component. There is also a physical/ muscular component to Vaginismus with vaginal muscle spasm being a second major component.

Typical treatments include the use of dilators, physical therapy to address spasm and ‘anticipation,’ psychotherapy, lubricants, and gradual desensitization. Many of these treatments may be effective for mild Vaginismus, but patients with severe forms often cannot achieve successful results with these time honored treatments.

Peter Pacik, MD developed a novel treatment method beginning in 2005, using vaginal dilation under anesthesia with Botox injection of the pelvic floor muscles.  Dr Pacik studied the results of this method and published the results on 241 women. His study was reviewed and approved by the FDA. The results were historic with objective cure rates higher than had been observed with previous methods. Many patients suffering years or more than a decade achieve pain-free sexual relations.

I had the privilege to train with Dr Pacik before he retired.  This method provides hope and cure for women who are suffering with even the most advanced forms of Vaginismus.

{Conference Presentation, Nassau Ob/Gyn Society, 2017}


  • Pacik PT  Understanding and Treating Vaginismus: A multimodal approach. International Urogynecology Journal  2014; 25 (12).
  • Pacik, PT, Geletta, S. Vaginismus Treatment: Clinical Trials Follow Up 241 Patients. Sexual Medicine Open Access, April 2017


If you are experiencing involuntary spasms of the vaginal muscles and would like to schedule a consultation with Dr Lind, The Pelvic Floor Doctor call (516)622-5114 today.