I've never had sex that didn't hurt, not ever, with three different partners over the course of twenty years. My boyfriend told me it shouldn't be that way and I'm missing out on one of the best things in life. He urged me to seek medical advice. Okay, he all but dragged me to the clinic. My family doctor referred me to a pelvic pain specialist, who told me that for some reason, my pelvic floor muscles are contracting when they shouldn't, making intercorse painful at best, miserable at worst. He said every time sex hurts, the muscles tighten up, which causes more pain, and more tightening, it's a vicious cycle. So for the past year I've gone every few months to have a local anesthetic injected into three of my pelvic muscles. It's not much fun--the doctor sticks a thin plastic sleeve into my vagina, presses with his finger till he finds the painful spots, then injects the anesthetic, sometimes with a steroid booster, into the muscles. I've had relatively limited success, with the relaxation of the muscles only lasting a few days or a week. So now I've got two choices, besides giving up sex altogether, which my boyfriend has already vetoed. I can go to a physical therapist specializing in pelvic floor muscles, who will likely teach me stretching exercises, or I can have Botox injected into the pelvic muscles along with the anesthetic. Or I could do both at the same time. In theory, the stretching exercises before sex would help the muscles relax. The Botox would paralyze the muscles for three or four months. Either way, the idea is that if the muscles learn to relax and intercourse starts to be free of pain, then my body will learn the new pattern and eventually I'll be able to stop treatment and start enjoying sex.
So, have any of you done either of these procedures? How well did they work? Is the four-month paralysis from Botox worth paying six or eight hundred dollars out of pocket for, since my insurance won't cover it? Have you had any unwanted side effects from the Botox injection? There's some risk of incontinence if the paralysis spreads further than it's supposed to. Is good sex worth the risk? If you did physical therapy instead, did it work? How many times did you have to see the therapist? Are either of these ideas even worth the trouble? I swear, sometimes I feel like just closing up the well and forgetting about sex completely. I really don't know what to do.
Answer by BrawnwynII at 4:42 PM on Jun. 29, 2012Credits: 107325 Level 39 Health Minor
Answer by m-avi at 3:28 PM on Jun. 29, 2012Credits: 257877 Level 47 Health Major
Answer by Ludvik_Smith at 3:36 PM on Jun. 29, 2012Credits: 17866 Level 23 Health 101
Answer by PartyGalAnne at 12:55 AM on Jun. 30, 2012Credits: 55545 Level 32 Health Major
Answer by LoViNmYbAbIeSs at 3:31 PM on Jun. 29, 2012Credits: 29408 Level 27 Health 101
Answer by DreainCO at 3:33 PM on Jun. 29, 2012Credits: 26836 Level 26 Health 101
Answer by butterflyblue19 at 3:33 PM on Jun. 29, 2012Credits: 341767 Level 49 Health Degree
Answer by meooma at 3:38 PM on Jun. 29, 2012Credits: 375223 Level 50 Health Degree
Remedies include trigger point injections, nerve blocks, oral medications, pelvic floor physical therapy and Botox.
Read more: http://www.foxnews.com/health/2012/01/20/painful-sex-try-botox-injections/#ixzz1zDPHsLfH
I would start with the least expensive/ invasive options and work my way up. And yes! Good sex is worth finding a solution. I would definitely contemplate spending money to have the issue resolved.
While we CAN live without sex, considering your age- it's a little outrageous to accept that as a medical diagnosis when you have options.
Answer by feralxat at 4:19 PM on Jun. 29, 2012Credits: 133256 Level 41 Health Minor
Answer by m-avi at 4:21 PM on Jun. 29, 2012Credits: 257877 Level 47 Health Major