The views expressed by me are for educational purposes only and do not establish a doctor patient relationship.
Thanks for your question.
Pelvic floor exercises and dilator use by gradually increasing the size form the major treatment of vaginismus of unknown reasons.
Certain medications can be used to relax the vaginal muscles.
Lidocaine 5% topical ointment can be used to relieve the pain commonly.
Side effects are less since this is topical.
Nitroglycerine ointment also can be used --however this can cause dizziness and low blood pressure as side effect.
Another option is the use of oral medications.
Gabapentin 100 mg at bedtime and then gradually increasing the dose by 100 mg every 3 to 7 days is another good approach.
A muscle relaxant like flexeril also can be used at bedtime 5 to 10 mg.
A benzodiazepine like valium is another option.
A combination approach --lidocaine ointment and an oral medication like gabapentin may be better in case one agent does not work.
Nowadays, botox injection also is being tried to relax the vaginal muscles.
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yes all of them requires prescription.
Please lidocaine first, then consider nitroglycerin.
then oral medications.
yes correct as ointment.
Yes I do treat patients with this condition.
Above recommendations are based on my experiences.
The success rate is high when medication combined with exercises and dilators.
You should go to a women's health center
intercourse should be avoided till you are able to tolerate the dilators without pain.
yes it takes some time.
Also do the kegel's exercises and also reverse kegel.
please go to this link for further information on reverse kegel:
You should see a good physical therapist experienced in pelvic floor exercises.
Yes she will
no you should not
addiction is low risk .
and most importantly the physical therapy also
no they work on the nerves --anti anxiety and also muscle relaxant
avoid alcohol if possible with these medications.
And a MD can only prescribe these medications.
You should see a gynecologist still for the prescription of the above medication.
you can try Columbia Ob Gyn department.
This is the link: