What can I do about vaginismus besides the dilators? Will I ever be able to have a "normal" sex life?

Denise

Vaginismus, significant vaginal pain with penetration, can be frustrating for the affected woman, her partner and her doctor. There is no universally effective treatment; trial and error is the norm. An understanding and patient partner is a must. Vaginal dilators -- plastic devices of graduated sizes to insert into the opening -- can be helpful because you are in control and you can "practice" vaginal penetration while more relaxed.

Antidepressants, specifically Wellbutrin, may also be helpful. The mechanism is to break the cycle of chronic pain; doses are much lower than are used to treat depression. Biofeedback and relaxation techniques can be used alone or can complement other therapies. Some women find relief by applying a topical anesthetic or taking a muscle relaxant before intercourse.

If you live near a medical center with a vaginal/vulvar pain clinic, I would encourage you to go there for evaluation. The multidisciplinary approach of such special clinics provides the best outcome.