Treatment strategies to treat vaginal tightness have to goal of eliminating the involuntary tightening of the vagina caused by tight contraction of the pelvic floor muscles in the vagina. In this step, the woman learns to control and exercise the pelvic floor muscles to eliminate the vaginal tightness and prepare her vagina to the next step, pain free penetration.
When used under guidance of a pelvic floor expert, vaginal dilators are very effective tools to eliminate pelvic tightness due to vaginismus. Dilators provide a substitute means to the correct pelvic muscle reactions. The woman learns vaginal insertion exercises and prepares herself for transition to the stage where she is ready for intercourse without pain.