Vaginismus – Can Botox Treat It?

Vaginismus – Can Botox Treat It?


By Dr. Inthu M, Gynaecology

Vaginismus is a painful condition. It may trigger discomfort and several degrees of pain during sex or when a woman tries to insert a tampon into her vaginal canal.

What is Vaginismus?

The pelvic floor muscles spasm or contract unnaturally when you have vaginismus. When you have sex or are undergoing a routine pelvic examination and the doctor introduces an instrument into your vagina, the muscles there involuntarily try to tighten which makes the insertion extremely painful. This makes not just gynecological examinations or using tampons an exercise in pain endurance but it also interferes with sexual activities.

What are the Types of Vaginismus?

There are several forms of this ailment-

1. Primary Vaginismus -

A woman is born with this condition. You can confirm that you have vaginitis when you try to have penetrative sex for the first time and penetration becomes impossible because your vaginal will not accommodate your partner’s penis.

2. Secondary Vaginismus -

This condition develops later. A traumatic event, childbirth or physical changes triggered by menopause or infection may lead to secondary vaginitis.

3. Global and Situational Vaginismus -

Global vaginismus refers to a perpetual form of this ailment. Situation vaginismus means certain scenarios such as intercourse may trigger it. It is not present for the rest of the time.

What are the Symptoms of Vaginismus?

Here is a list of common Vaginismus symptoms

  • Pain during sex
  • Penetrative sex becomes an impossibility owing to the extreme pain
  • Tampons cannot be inserted
  • Ceasing to breathe when your partner tries to penetrate you during sex

Vaginismus may make sex painful but it does not affect a woman’s libido. It does not get in the way of sexual arousal.

Botox Treatment for Vaginismus -

Botox or Botulinum Toxin is not just used in cosmetic treatment but also as a solution to conditions that trigger chronic pain.

If you are suffering from vaginismus, your gynaecologist will inject botox into the vagina. This will paralyse your vaginal muscles and stop them from contracting when something is inserted into the vagina.

The effect of Botox will last for around a year after which you will need another session. But, this treatment is often supplemented with psychotherapy. Because it is often fear of sex that triggers this condition.

Botox therapy for vaginismus is an effective and non-invasive way to cure this ailment permanently.