Dee/]BOTOX & Vaginismus

[Guest guest]

Thanks for this article also Dee. I have made my appointment for

Botox for May 1st and a good friend of mine is having Botox on April

18th. We go to the same pain management doctor. So eventually we

will have some positive results I hope.

nne

From: VulvarDisorders

[mailto:VulvarDisorders ] On Behalf Of Dee Troll

Sent: Tuesday, April 01, 2008 5:22 PM

To: VULVAR DISORDERS LIST

Subject: BOTOX & Vaginismus

Here's another one.

Dee~

=============================

Obstet Gynecol. 2004 Nov;104(5 Pt 1):913-4.

Botulinum toxin in the treatment of refractory vaginismus.

Ghazizadeh S, Nikzad M.

Department of Obstetrics and Gynecology, Tehran University of Medical

Sciences, Vali-e Asr Reproductive Health Research Center, Tehran,

Iran. shirin_ghazizadeh@...

OBJECTIVE: To investigate the efficacy of botulinum toxin injection to

treat women with moderate and severe vaginismus.

METHODS: Twenty-four women referred to our clinic from February 2002

to February 2004 (mean age 25 years; range 19-34 years) with third- to

fourth-degree vaginismus were recruited for this study. These women

had previous unsuccessful treatments. Botulinum toxin (150-400 mIU)

was injected into the puborectalis muscles in 3 sites on each side of

the vagina.

RESULTS: Twenty-three patients (95.8%) had vaginal examinations 1 week

postoperatively that showed little or no vaginismus, 18 (75%) achieved

satisfactory intercourse after the first injection, 4 (16.7%) had mild

pain, 1 was cured after a second injection, 1 patient refused vaginal

examination and did not attempt to have coitus, and another had no

coitus as a result of her husband's secondary impotence. The women

were followed up for a mean of 12.3 months (range 2-24 months), and

there were no cases of recurrence.

CONCLUSION: In refractory cases of vaginismus when conventional

therapies have failed, local injection of botulinum toxin can be

considered.

PMID: 15516379 [PubMed - indexed for MEDLINE]

[Guest guest]

Oh nne, I sure am hoping this botox thing just might do it for you! (and your friend)

If I were in your position I'd consider it too and without a 2nd thought.

It makes sense as to why it would work although not sure how long it lasts, but well worth looking into.

HugsDee

BOTOX & Vaginismus

Here's another one.

Dee~

=============================Obstet Gynecol. 2004 Nov;104(5 Pt 1):913-4.Botulinum toxin in the treatment of refractory vaginismus.Ghazizadeh S, Nikzad M.Department of Obstetrics and Gynecology, Tehran University of MedicalSciences, Vali-e Asr Reproductive Health Research Center, Tehran,Iran. shirin_ghazizadeh@...OBJECTIVE: To investigate the efficacy of botulinum toxin injection totreat women with moderate and severe vaginismus.METHODS: Twenty-four women referred to our clinic from February 2002to February 2004 (mean age 25 years; range 19-34 years) with third- tofourth-degree vaginismus were recruited for this study. These womenhad previous unsuccessful treatments. Botulinum toxin (150-400 mIU)was injected into the puborectalis muscles in 3 sites on each side ofthe vagina.RESULTS: Twenty-three patients (95.8%) had vaginal examinations 1 weekpostoperatively that showed little or no vaginismus, 18 (75%) achievedsatisfactory intercourse after the first injection, 4 (16.7%) had mildpain, 1 was cured after a second injection, 1 patient refused vaginalexamination and did not attempt to have coitus, and another had nocoitus as a result of her husband's secondary impotence. The womenwere followed up for a mean of 12.3 months (range 2-24 months), andthere were no cases of recurrence. CONCLUSION: In refractory cases of vaginismus when conventionaltherapies have failed, local injection of botulinum toxin can beconsidered.PMID: 15516379 [PubMed - indexed for MEDLINE]