Vaginismus Treatment

We serve women globally, from Chicago, NYC, Dallas, LA, San Francisco, Toronto, London, U.K., Australia & beyond!

If you are struggling with vaginismus, you're not alone! You do not have deal with it in silence or shame either. We at Vagina Rehab Doctor help you overcome vaginismus, without even needing to leave the privacy of your home!

On this page, we answer everything you need to know about vaginismus, including how we can help you overcome your pelvic pain and difficulties with intimacy!

Vaginismus 101

Types of Vaginismus

  1. Primary Vaginismus:
    > vaginal insertion of any kind or first time attempts with penetrative sex have always been impossible or extremely painful
    tampons may have been painful or impossible at the age of 12 when preparing to go swim
    > your wedding night didn't go the way you planned - the first attempts with sex didn't work

  2. Secondary Vaginismus:
    > initial comfort and painless penetration with sudden loss of ability to achieve penetration
    > may happen after a traumatic birth or pregnancy, sexual trauma, recurrent painful vaginal infections, or prolonged sexual inactivity or hormonal insufficiencies.

  3. Situational Vaginismus:
    > pain free vaginal insertion in one situation (like pelvic exams or sex) but inability to insert one's finger or achieve tampon insertion

What Causes Vaginismus?

  • religious upbringing with negative views of sex
  • conservative cultural upbringings that discourage sex education
  • lack of sex education and understanding your body
  • chronic general anxiety
  • sexual anxiety or a fear of pain with sex
  • history of sexual trauma or physical trauma to the vagina
  • endometriosis, fibroids, or severe abdominal or pelvic pain
  • painful or traumatic vaginal birth
  • vaginal injury with pain
  • a fear of your own vagina
  • Unknown causes - some people may have vaginismus without any known reason.

Not sure if you have Vaginismus?

If you are unsure whether you have vaginismus, click HERE to take our FREE 5 prong vaginismus screening tool!

Physical barriers to vaginismus: hitting a wall, vagina feels too small, burning pain

Do any of these sound familiar to you?
  • Sex feels like hitting a wall
  • Your vagina feels just too small
  • You have ring of burning pain at the vaginal opening
  • You feel like sex is blocked

Perhaps you feel safe in your relationship, enjoy passionate foreplay, use lube, and yet, you STILL feel like penetration is completely impossible.

If this is the case, you are experiencing the physical and pelvic floor muscle barriers to pleasurable sex. These barriers don't just go away on their own! They generally require physical interventions to fix them.

Significant pelvic floor tightness can make a normal-sized vagina feel super small or barely there. It can give you extreme pain when attempting insertion. The good news is this can be reversed! 

Can vaginismus be due to a mental block?

Many people experience both physical and mental barriers to recovery. Vaginismus can cause significant emotional distress, isolation, insecurities, and shame, so mental health support can be very beneficial.

If you are experiencing any of the following: flashbacks of sexual trauma, automatically shutting your thighs tightly before any attempts at penetration, have fear of pain, or if you go into panic before intercourse attempts, then mental distress can be keeping you from experiencing pain free sex. You may want to consider seeing a mental health therapist to help you as one of your first steps to healing.

How we Treat Vaginismus

At Vagina Rehab Doctor, we use effective and evidenced based pelvic floor treatments including pelvic relaxation exercises, education, and guided hands-on methods to release pelvic pain and pelvic floor tightness. We have worked with hundreds of women to help them overcome longstanding vaginismus and finally restore body confidence! And we can help you do the same too!

If you are ready to receive 1 on 1 professional support to get past your sexual struggles, we are happy to help! Book your initial consultation by clicking here. Buttery, pain free sex can be yours soon!


How we treat Vaginismus through Virtual Coaching

As pelvic floor physical therapists, we dedicate ourselves to treating vaginismus and painful sex

With many years of expertise, education and training under our belts, we have mastered the art of virtual treatment and education. Within each coaching session, we use pelvic models, vulva models, dilators, pelvic wands, and clear instructional demos to teach you and help you achieve three major skills:

  1. Understand your body, your pain and how to finally resolve your pain!
  2. Release significant pelvic floor tightness and pain that blocks insertion and pleasurable sex!
  3. Use your own hands strategically for progressive dilation, pelvic wanding, and pelvic floor screening so you can feel in charge and in control of your body!

Our Unique Treatment Approach: 6 steps to achieving painfree sex

Our signature pelvic floor treatment approach for vaginismus combines 6 crucial steps to achieving pain free and pleasurable sex:


  1. Education: understand exactly what's going on with your pelvic floor muscles and how this is contributing to pain and difficulty with sex. Learn how to work through the most common barriers to pain free sex by understanding chronic pain and pelvic floor dysfunction.

  2. Pelvic Floor Exercises: learn the correct body mechanics and techniques for breathing exercises, hip exercises, and pelvic floor relaxation exercises while ensuring excellent technique and form.

  3. Neuromuscular regulation: we utilize methods aimed at regulating your brain's response to touch and pain so that you can feel safe & relaxed with sex or vaginal insertion.

    We ensure we are address your whole body and teach you how to:
    calm feelings of panic during vaginal insertion
    > resolve fear of pain with dilation therapy
    > resolve habits of pelvic floor muscle clenching
    > manage anxiety

  4. Hands-on Pelvic Floor Techniques: instead of relying on us to do the hands-on treatment to you, we teach you how to strategically use your own hands, dilators, and pelvic wands to treat yourself. There is nothing more empowering than feeling confident connecting to your own body! We are here to ensure you feel safe and comfortable release pelvic floor tension, pain, and fear.

  5. Sex Positive Reinforcement: we help foster an open, welcoming, and positive mindset concerning pleasure, sex, and erotica. Working with us can help you overcome pelvic floor dysfunction, but it can also help you feel prepared to feel confident building a satisfying sex life without fear and anxiety!

  6. Community enrichment: We invite you to join us for our optional online group vag stretch labs. We open these special labs just for our 1 on 1 clients to reinforce a supportive community, ensuring that you don't feel alone on your healing journey.

How long does it take to cure vaginismus? What is the success rate for virtual treatment with the Vagina Rehab Doctor team?

It takes on average only 8-10 weeks to recover with our 1 on 1 virtual coaching programs! This is nearly one third of the average amount of sessions required with in-person pelvic floor physical therapy, which has an average of 33 weekly sessions! At Vagina Rehab Doctor, we emphasize pain resolution and creative dilation while centering efficiency of care and your active participation in your healing.

Our current success rate for treating vaginismus is 85%. This means you have a 85% chance of success when you work 1 on 1 with us. Keep in mind that each of our programs are designed for a different level of sexual wellness & intimacy, so be sure to choose the program that is best suited for your needs.

Do you work with international clients?

Yes! We provide coaching for clients all over the world! We currently have clients across the United States, Australia, the UK, South Africa, Poland, Canada, and more! Your location is not a barrier. We'll work with you inside your initial call to ensure there are times that fit within your schedule where we can work together.

Do you take insurance or HSA for payment?

We are a cash pay company that accepts debit card, credit card, and bank transfers for payment. While we work with international clients all over the world, we also offer affordable & flexible payment plans for United States clients who choose to work with us! 

Our 1 on 1 programs to treat vaginismus and sexual pain

Affordable payment plans are available for U.S. clients. Credit or Debit is accepted for international clients.


RELEASE: $2000 USD

  • This is for you if you've already begun your dilation journey OR you need professional support in getting a strong head start on your vaginismus!
  • Learn hands-on methods to RELEASEpain & pelvic floor tightness that is holding you back from pain free sex and a healthier pelvic floor!
  • 8 sessions, 30 mins, 1x/week with weekly group vag stretch labs included
  • Click here to book your first appointment with us and see if RELEASE is a great fit for you!

RESTORE: $3850 USD

REDEEM: $5750 USD

  • Couples coaching program crafted to help deepen unity & sexual passion via partnered coaching where the healing process is done together!
  • Weekly assignments given for partnered homework & sensual homework assignments for buttery sex! 🧈
  • REDEEM a sense of craving for each other
  • 3 months, 60 mins, 1x/week, with 15-min 1 on 1 weekly support calls
  • $500 voucher to our shop, and all group activities.
  • Click here to schedule your call to see if REDEEM is the solution your relationship has needed!

RE-IGNITE: $9850 USD

  • Get an urgent and powerful ignition to a vaginismus cure in 21 days by working directly with Dr. Janelle, Founder & CEO of Vagina Rehab Doctor.
  • 60 minutes, 2x per week for 3 consecutive weeks = 6 sessions in total with phone & text access to stay connected to Dr. Janelle.
  • Must have already begun the dilation process
  • Great for upcoming wedding nights, anniversaries, or simply a direct flight to pain free sex and vaginismus resolution! 🛫
  • Set up a call today to talk with us directly and get started!

Schedule your first call to get started with us