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Vaginismus is an involuntary muscle spasm-like condition of the vaginal and perineal muscles, it interferes with sexual intercourse making it painful and sometimes impossible, with avoidance of intimacy due to actual or anticipated pain (Sexual Penetration Disorder).
Botulinum toxin (Botox) is a potent muscle relaxant, and has been used in vaginismus and pelvic pain cases with great success. A fine needle injection into the spastic muscles will effectively relax the muscles for 3 months, making intercourse possible, and a pleasurable experience.
Treatment includes, botulinum toxin vaginal injection with manual progressive vaginal dilatation performed for several months, this method provides better acceptance of intimacy and intercourse in over 95% of cases in cosmetic gynecology.
Other methods of vaginismus management include psycho-sexual counseling, reassurance and vaginal widening procedures.
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Cairo - Egypt
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