Sexual contact is one of the most natural experiences that women can have. However, when overcome by extreme pain with penetration, they often fear having intercourse with their loved ones. This condition, known as Vaginismus, can result in women totally withdrawing from any sexual contact and eventually start developing relationship problems.

The cause of the pain often has no physical abnormality. However, the severe contraction of the vaginal muscles can be so strong that is prevents comfortable / any penetration. A vicious cycle develops where this woman fears future painful penetration and therefore the muscles contract even more.

At Climax, Aesthetic Surgery, our vaginal relaxing injections (Trigger Point Injections) can help to break this cycle.


A trigger point is a painful spasm or a hyperirritable nodule that forms on tight muscles which are unable to relax. If located under the skin, trigger points are painful when pressed upon.

Typically the result of trauma, over-used muscles, inflammation, psychological factors, or a succession of minor injuries, a trigger point is capable of aggravating nerves from a distance as well as causing what is called referred pain which is pain that is experienced in another part of the body rather than where the pain originates.

Injections typically consist of the pain reliever lidocaine and anti-inflammatory medication, but medication options (including Botox) can vary according to the needs of the patient. Once the injections are administered directly into the irritated nodule, the spasm relaxes almost immediately, naturally increasing blood flow and more abundant levels of oxygen in the muscle.

Pain relief is typically felt by the patient within 24-72 hours.

Injections for chronic pelvic pain involves injecting pain-relief medication directly into pelvic muscles via the vagina. The 20-30 minute procedure is non-invasive and usually begins with your chosen health practitioner numbing the area before injections are administered.

Some patients report feeling a temporary escalation of pain when the tip of the needle enters the trigger point. This pain is only briefly felt, however, and is believed to be a positive sign that the medication has been administered to the right location.

The timespan of relief varies from patient to patient. For some women, the relief experienced from pelvic floor trigger point injections lasts for a month, while for others it can last as long as three months.

In some cases, pelvic floor injections are used to deliver enough relief for women to engage in pelvic floor physical therapy, where they learn to relax their pelvic floor muscles for the long term through movement and breathing techniques.

The answer to this is that every patient is different, so it’s best to schedule a consultation to talk about how many trigger point injections your condition requires, and how often should have them. The pelvic floor is a large area, encompassing a variety of muscles and several branches from the pudendal nerve, therefore several injections may be required to ensure all are treated for pain relief.

It has also been noted by researchers that trigger point injections work best in an accumulative effect, meaning the best results are achieved gradually with a series of injections over time.