In general, having a warm and effective marital relationship has a great impact on survival. So that in many cases, when the main cause of separations and differences is investigated, the obvious part of these separations may be related to *problems* of sexual relations. Now the question that is raised here is whether there is a solution for such problems? If there is a solution for these problems, how effective can it be? Join us to learn about one of the problems of marital relations called **vaginismus** and its treatment methods. In this section, **Dr. Zahra Seifi**, the best gynecologist in Tehran, has discussed the subject of ***treatment of vaginismus with Botox***. It is good to learn a little about the mentioned complication before we get acquainted with this process of treating vaginismus with Botox. What is vaginismus? **Vaginismus** is a problem in which the patient's vagina contracts and makes intercourse impossible. Vaginal contraction in this state, which is defined as a taboo in the society, is involuntary and the person has no involvement in it. Specialists do not have accurate information about the cause of this painful problem; But it is more common in people who have been raped or had a bitter sexual experience. The fear of vaginal intercourse in medical terms is called "vaginismus" which actually occurs after the involuntary contraction of the muscles of the pelvic floor and vaginal wall and is considered a common sexual disorder among women. To the extent that approximately 7-16% of women (one out of every 6 women) face this problem. Involuntary contraction of the pelvic floor muscles (vaginismus), in addition to vaginal proximity, may also occur after vaginal examination and any foreign object entering the vagina. In the past, vaginismus in some cases led to the divorce of couples. But fortunately, in today's era, with the advancement of medical science and its related technologies, it has become possible to treat it, and it is possible to treat this complication with various methods, including **Botox injection**. Many women also choose to treat vaginismus with Botox because of its many benefits. ### Symptoms of vaginismus
It should be noted that the symptoms of vaginismus are different among women and have different degrees. But in general, the main symptom of vaginismus is the involuntary contraction of the vagina, which makes penetration difficult or even impossible; So that the vagina of this group of women is completely closed during sexual intercourse. Other symptoms of vaginismus include:
1. A person will feel a burning sensation in the vagina during sex. 2. The person refuses sexual intercourse due to the fear of pain caused by penetration. 3. The person will lose his sexual desire due to problems caused by vaginismus. Note that as mentioned, vaginal contraction is involuntary and the person has no involvement in it and cannot stop it. ### Types of vaginismus
Vaginismus is classified into two categories as follows:
1. Primary vaginismus: Primary vaginismus occurs when a woman experiences vaginal penetration for the first time. It should be noted that after marriage, despite having sex at least 10 times in different periods of time, women who do not succeed in full penetration are most likely suffering from vaginismus. 2. **Secondary vaginismus:** This type of vaginismus occurs in women who have experienced sexual intercourse before, but because of its painfulness, they feel afraid of reestablishing this relationship and are somewhat disgusted. ### Degrees of vaginismus
Vaginismus (painful penetration), depending on its severity, can have different degrees from mild to severe. We have described the classification of vaginismus below. 1. **Grade 1 vaginismus:** The person feels pain during sexual intercourse, but there is no problem in the vaginal examination. 2. **Vaginismus grade 2:** The person faces problems both in sex and in vaginal and pelvic examination. 3. **Grade 3 vaginismus:** Due to this complication, the person is not even able to sit well on the examination bed and during the examination, he refuses to be examined by pulling himself backwards. 4. **Vaginismus grade 4:** During the examination, the person, due to the fear of vaginal contact, raises his hips and waist from the bed and does not spread his thighs apart and pulls himself completely back. 5. Vaginismus grade 5: In this grade of vaginismus, in addition to preventing the pelvic examination by the doctor, the person suffers from symptoms such as excessive sweating, severe tremors, increased heart rate, vomiting, weakness and unconsciousness, and in some cases may even experience mental symptoms and as a result jump from the examination bed and attack the doctor. Treatment of vaginismus with Botox
Now the question is raised, is it possible to treat vaginismus? In answer to this question, it should be said, yes, vaginismus is a common sexual disorder that can be treated. Therefore, young women who have recently married and have problems with vaginismus, instead of having fear and apprehension, they should look for effective treatment and refer to a gynecologist so that a suitable treatment method can be adopted under their supervision. **Dr. Zahra Seifi** **The best gynecologist in Tehran**, is known as one of the most prominent doctors in the field of gynecology in Tehran province. Loved ones who are facing women's problems and diseases, including vaginismus, can refer to Dr. Seifi's office for definitive treatment of this disorder. > The words of Dr. Zahra Saifi, a gynecologist, about the definitive treatment of vaginismus
**How to cure this seemingly simple, but annoying problem?**
Marital relationship is very important for both parties and unfortunately, vaginismus is a problem that makes it impossible to have a child; Therefore, it can be said that vaginismus is not a small disease, and treatment of this disorder should be started as soon as its symptoms are observed. Today, Botox has been introduced as a new solution for the treatment of vaginismus. Maybe you have heard the name Botox before in the field of beauty treatments; But note that Botox has wide applications in the field of medical affairs. Botox, because it contains botulinum toxin, causes muscle paralysis and prevents muscle contraction, either voluntarily or involuntarily; Therefore, Botox can be used to remove facial wrinkles, bladder pain, headache, vaginismus, etc. ***Treatment of vaginismus with Botox*** is outpatient and performed in the office; But before doing it, the necessary consultations should be done with the couple first. It goes without saying that after botox injection to treat vaginismus, it is necessary to do physical therapy. It should be noted that sometimes, in order to treat vaginismus, one Botox injection is enough, but in some cases, it is necessary to repeat the injection in several stages. Film of Botox injection to the genital area with the aim of treating vaginismus
How to treat vaginismus with botox injection
To treat this problem, most doctors will inject an appropriate dose of Botox into the 3 vaginal muscles that contract involuntarily during sex. Before injecting Botox, the doctor carefully examines the vagina to find out which muscle is most involved in strong contractions, so that Botox injection can be done at these points. ### The effect of Botox in the treatment of vaginismus
Most doctors use Botox injections to reduce pain in diseases such as migraine or vaginismus. By injecting Botox, you can treat the tension that occurs in the muscles during sexual intercourse. Botox injection will be used in places near the muscles of the vaginal opening. Botox injections to other muscles that cause spasms in the vagina will help relax these muscles during penetration. Benefits of treating vaginismus with Botox
Treatment of vaginismus using botox injection is a definitive and outpatient treatment that can improve women's sexual performance during sex and penetration. Botox injection relieves pain during intercourse and prevents involuntary spasm of vaginal muscles. Also, the recovery period using this treatment is short. Botox injections can improve the stress and tension that women experience during sex, and this factor improves relationships between couples. By using this method, many marital problems can be avoided due to the problem of non-penetration that happened due to vaginismus. ### Persistence of Botox in the genital area of women
The longevity of Botox injection is different for women. But usually this treatment method lasts 2 to 6 months. At this time, due to the disappearance of pain during intercourse and the absence of involuntary muscle contractions, even with the disappearance of the effects of Botox, in most cases, people's problems have been resolved and they can continue their normal lives and marital relations. ### Botox injection course for treatment
The number of injection sessions in women is different according to the extent of their problems. Some women will be treated with just 1 injection while others will need 2 or 3 injections. When the durability and effects of Botox are gone, the next injection can be done again. How is the process of treating vaginismus with Botox? Since Botox must be injected into the muscles that cause pain, the gynecologist identifies these muscles in the first step. In order to be effective, Botox must be injected into the right muscles. It is usually said that 200 units of Botox are injected to treat vaginismus. For most patients, this procedure is generally performed under local anesthesia. But for some people, general anesthesia may also be applied. This issue depends on the condition of the patient and of course the discretion of the gynecologist. It is worth mentioning that for some women, ***treatment of vaginismus with Botox*** may be accompanied by a dilator (vaginal expander) or psychological courses. Because sometimes these issues are also related to psychological problems. The effect of Botox is fully determined about 3 weeks after the injection. Therefore, it is recommended to have the first sexual intercourse three weeks after the injection. Since this process is generally outpatient, after the treatment there will be no need to take special care and the person can go about his daily activities. The only advice given to patients is not to do heavy activity for 24 hours. Regarding sex after this process, the expert emphasizes that in addition to physical preparation, women should also be mentally calm and ready. What is the cost of treating vaginismus with Botox? Many things are effective in the cost of Botox injection for the treatment of vaginismus, among which we can mention the Botox brand. The number of injectable units and the frequency of injections of this treatment process is generally fixed, which is considered one of its advantages. These factors, along with the doctor's fee, determine the final cost. You will know the exact cost of the procedure by going to the office of a good gynecologist in West Tehran and after being examined by him. Is it better to treat vaginismus with Botox or dilator? Dilator treatment is time-consuming and it is necessary for a person to undertake this process for a longer period of time. Also, in cases of severe vaginismus, dilator is not effective in treating this condition. This problem may still exist in some women despite Botox injection, in such a situation, several treatment sessions are needed for injection. Currently, RF is also used to solve this problem. Usually, most people are cured after 1 to 3 sessions. In general, the best treatment method is suggested based on the severity of vaginismus and the condition of each person, and each of the mentioned methods has its own advantages. ### Can vaginismus be cured by itself? Since this disease occurs involuntarily, it is very unlikely that the treatment will resolve on its own. It is recommended that if you encounter the complication of vaginismus, do not be ashamed of it and definitely visit a gynecologist and obstetrics doctor so that your treatment can begin after the necessary consultations. It should be noted that the problem of most patients can be solved in a short period of time and they can enjoy their sexual activities. Be careful that sexual activities are a part of married life and a healthy relationship strengthens the foundation of life, so if there is any problem, you should not ignore it. Accompanying spouses in the **treatment of vaginismus with Botox** is one of the significant cases in this matter and helps to shorten the recovery period and feel safe during the treatment. Advice and necessary care after vaginal botox injection
1. Avoid taking blood thinners. 2. Avoid smoking and drinking alcohol. 3. If you have special diseases such as kidney disease, MS, be sure to inform your doctor about this. 4. Avoid putting pressure on the genital area and do not exercise for 48 hours. How long is the treatment period for vaginismus with botox? Botox injection into the vaginal muscles for the treatment of vaginismus is one of the definitive and quick methods that are associated with permanent results. It is good to know that this treatment method does not require injections in multiple sessions, and with just one injection of Botox in the bikini, you can cure this problem forever and experience a sweet and enjoyable experience of sex. Complications of injecting Botox into the vagina to treat vaginismus
In general, you should know that injecting Botox into the genital area of women does not have any serious side effects. Only in some cases, the problem of intestinal bloating or bladder incontinence may be reported, which you should keep in mind that since the injection is not done near the urethra or rectum, the probability of these complications is very low. On the other hand, if this procedure is performed by an experienced gynecologist, it is completely safe and does not involve any risk. On the other hand, you should keep in mind that since the effects of Botox are temporary and only last for 12 weeks, these side effects are also completely reversible. What are the types of vaginismus? Vaginismus is divided into two types of primary and secondary vaginismus. In both types, the intensity of pain may vary from mild to severe. 1. **Primary vaginismus**: Primary vaginismus usually occurs during the first sexual intercourse and the person feels pain, burning and slight cramping of the vaginal muscles during intercourse. In this condition, it is almost impossible and painful for the penis to enter the vagina. This pain goes away by stopping the penetration. 2. **Secondary vaginismus**: This state is seen in women who have had the ability to have normal sex and have not experienced such a problem before; But this disorder happened at some point in their lives. Secondary vaginismus can be caused by sexual assault, infection, childbirth, surgery, etc. Also, some women experience this disorder after menstruation. During this period, the estrogen hormone decreases and the person may experience vaginal dryness. This can cause painful intercourse. What are the signs and symptoms of vaginismus or painful penetration? The most important symptom of vaginismus or painful penetration is the involuntary contraction of the external muscles of the vagina, in which the male penis faces an obstacle while entering the vagina. Other symptoms of this disorder include the following:
- Painful penetration
- Pain during speculum insertion and examination by the doctor
- Muscle contraction in the whole body and even in the respiratory system
- Fear of sex and as a result decreased sexual desire
- The requirement to reach orgasm in a way other than penetration of the penis and vaginal sex
- The impossibility of having sex or inserting a tampon
- Fear of pain or sex
The symptoms of vaginismus are so clear that the person himself realizes it only after a short period of time. These symptoms are involuntary and cannot be controlled without treating vaginismus. It should be noted that one of the most basic ways to treat this disease is Botox injection.
