Our approach
What is vaginismus and how is it treated?
At DGB Clinic, women’s intimate health concerns are met with discretion and medical care. Vaginismus involves involuntary pelvic floor muscle contractions that make vaginal penetration painful, difficult or impossible. It is not a matter of willpower.
Options include psychotherapy, sexology, pelvic floor physiotherapy and graduated dilators. When these approaches are insufficient, neuromodulator (botulinum toxin) injections may be considered to ease muscle tension.
By temporarily relaxing targeted muscles around the vagina, treatment can create an opportunity to work toward more comfortable penetration alongside other care.
Treatment time:
30 to 45 min
Downtime:
Resume daily activities right away. Avoid sexual activity for 48 to 72 hours. Effects develop over five to seven days.
benefits
Treatment goals
Targeted muscle relaxation for more comfortable penetration
Neuromodulators temporarily reduce nerve signals to targeted pelvic floor muscles, helping ease excessive tension without permanently affecting the muscles.
The technique:
After local anesthesia for comfort, a physician places precise injections in the muscles around the vagina. The procedure itself is brief, and one session may be enough for some patients.
Benefits:
Gradual, targeted relaxation of muscles involved in spasms.
A three- to six-month window to work toward more comfortable penetration.
Can complement sex therapy and pelvic floor physiotherapy.
A brief outpatient procedure with no hospital stay.
Temporary, adjustable effects.
Positive experiences may support longer-term confidence.
effects & longevity
Expected results
Immediate effect
Muscle relaxation develops gradually over five to ten days after treatment.
Evolution :
Mild sensitivity may occur for 24 to 48 hours. After one to two weeks, penetration may become more comfortable, ideally alongside sex therapy or pelvic floor care.
Duration:
The neuromodulator typically works for three to six months. This period may support progress with pelvic floor physiotherapy or sex therapy. Repeat treatment can be discussed if needed.
FAQ
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