Urology
July 30, 2026
5 min read

Pelvic Floor Botox in Vaginismus Treatment (Botox Injection)

Op. Dr. Fettah Tosun

Op. Dr. Fettah Tosun

Üroloji Uzmanı

In the treatment of vaginismus, traditional sexual therapies and dilator exercises achieve success in most patients. However, some patients experience such intense fear and contraction that they cannot allow anything to approach the vagina. In these resistant cases, the Pelvic Floor Botox (Botox Injection) in Vaginismus Treatment method, which has revolutionized the medical world in recent years, comes into play. This innovative method is a modern treatment option successfully applied in specialized clinics.

What is Pelvic Floor Botox and How Does It Work?

Botulinum toxin (Botox) is a protein that temporarily prevents the stimulation of muscles by nerves (relaxes muscles). When Botox is injected into the pelvic floor muscles (especially the levator ani muscle group) that contract involuntarily and excessively in vaginismus:

  • These muscles temporarily relax, preventing involuntary contractions.
  • The sensation of spasm and tightness at the vaginal entrance completely disappears.
  • Since the patient does not experience contractions, they feel no pain or discomfort during intercourse.

A Unique Opportunity to Break the Fear

The effect of Botox lasts for approximately 4-6 months. During this period, since the pelvic muscles cannot contract, the patient can easily engage in intercourse. Pain-free intercourse erases the brain's incorrect association of 'intercourse equals pain.' Even after the effect of Botox wears off, vaginismus is permanently resolved as muscle memory learns painless intercourse.

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