Vaginismus is a condition where involuntary muscle spasms in the pelvic floor interfere with vaginal penetration, often leading to pain during intercourse. Many individuals experience this when attempting vaginal penetration for the first time, while others may develop it later in life.

Why Dilators Alone Aren’t the Solution

Many treatment approaches focus on using vaginal dilators or even surgical interventions to address vaginismus. However, the key question remains: How can dilators help if your muscles are still involuntarily holding tension?

Think of it like trying to force a key into a locked door. If the door is blocked from the other side, the key alone won’t open it—you must first remove the obstacle preventing it from unlocking. In the case of vaginismus, that obstacle is chronically tight and overactive pelvic floor muscles. These muscles have been in a state of tension for years, and simply inserting a dilator without addressing the underlying cause may not lead to lasting relief.

At Advanced Pelvic Health Solution, our role as pelvic health specialists is to:

• Identify the root cause of muscle tension and spasms
• Address and release these muscle restrictions
• Teach you how to manage and maintain relaxation techniques independently

The Role of Breathing in Vaginismus Treatment

We take a whole-body approach to pelvic health—not just focusing on the pelvic floor. One of the most overlooked aspects of vaginismus treatment is the diaphragm and breathing patterns.

Many individuals with vaginismus unknowingly hold their breath or engage their diaphragm, neck, and shoulder muscles in response to stress or discomfort. This creates a cycle of tension that keeps the pelvic floor muscles in a constant state of tightness.

By retraining breathing patterns and addressing dysfunction beyond the pelvis, our patients often experience a dramatic shift—what they describe as a “night and day” difference. When the body learns how to relax, the pelvic floor follows, allowing for real, lasting improvements.

A Head-to-Toe Approach to Pelvic Health

At Advanced Pelvic Health Solution, we believe that pelvic health is more than just treating the pelvic floor. We assess the entire body—from head to toe—to uncover and treat the underlying issues contributing to vaginismus and other pelvic floor dysfunctions.

Ready to Start Your Healing Journey?

If you or someone you know is struggling with vaginismus, we are here to help. Book an appointment with us to receive expert, one-on-one care that goes beyond symptom management to provide long-term solutions. Call us today to schedule your consultation.

Dina Soliman, PT

Advanced Pelvic Health Solution