Vaginal Dilators/Trainers for Sexual Pain: A Comprehensive Guide
Introduction
Vaginal trainers, also known as vaginal dilators, are medical devices designed to help women with various pelvic floor disorders. These disorders can include vaginal tightness, vaginismus, dyspareunia (painful intercourse), and more. Vaginal trainers play a crucial role in pelvic floor physical therapy, offering a way to alleviate symptoms and empower you to take control of your care. In this blog, we'll explore everything you need to know about vaginal trainers, including their types, how to choose the right one, and tips for effective use.
What Are Vaginal Trainers?
Vaginal trainers, often referred to as vaginal dilators, are cylindrical devices typically made from medical-grade materials such as silicone or plastic. They come in a range of sizes, allowing users to gradually increase the diameter as they progress in their treatment. These devices help stretch and desensitize the vaginal muscles, promoting relaxation and reducing pain.
Types of Vaginal Trainers
There are several types of vaginal trainers available, each catering to different needs and preferences:
Standard Vaginal Trainers: These are the most common type and come in sets with varying sizes. They are used to gradually increase vaginal width and length.
Vibrating Vaginal Trainers: These trainers incorporate vibration to help relax the pelvic floor muscles more effectively. They can be particularly beneficial for women with vaginismus.
Biofeedback Trainers: Equipped with sensors, these trainers provide feedback on muscle tension and relaxation, helping users improve control over their pelvic floor muscles.
How Do You Decide Which to Pick?
Choosing the right vaginal trainer or dilator depends on several factors, including the underlying condition, personal comfort, and any recommendations from a healthcare provider. Here are some considerations:
Medical Condition: Different trainers may be more suitable for different conditions. For instance, vibrating trainers may be better for vaginismus, while standard trainers are often used for general pelvic floor therapy.
Material: Some women may have sensitivities to certain materials. Silicone trainers are generally hypoallergenic and preferred for their flexibility and comfort.
Ease of Use: Consider how easy the trainer is to insert, use, and clean. User-friendly designs can make a significant difference in adherence to the therapy.
Professional Guidance: Always consult with a pelvic floor physical therapist or healthcare provider to ensure you're choosing the right type of trainer or dilator for your specific needs.
Trainer or Dilator? What's in a Name?
The terms "vaginal trainer" and "vaginal dilator" are often used interchangeably, but they can have slightly different connotations. "Dilator" implies a focus on increasing vaginal size, whereas "trainer" suggests a broader scope, including muscle training and relaxation. Regardless of the term, the primary goal is to improve pelvic floor health.
Getting Started with Trainers
Starting with vaginal trainers or dilators can be daunting, but with the right approach, it can be a manageable and effective process. Here are some initial steps:
Consult a Professional: Before beginning, consult with a pelvic floor therapist to understand the proper use and to set realistic goals.
Select the Right Trainer: Based on your condition and professional advice, choose the trainer or dilator that suits your needs. Guidance from a pelvic floor therapist can help you determine which size to begin with.
Create a Comfortable Environment: Find a private, relaxed setting where you feel comfortable using the trainer.
Use Lubrication: Water-based lubricants can make the insertion process smoother and more comfortable.
Rules for Using Vaginal Trainers
Consistency and proper technique are key when using vaginal trainers. Here are some essential rules:
Follow Professional Guidance: Always adhere to the instructions provided by your healthcare provider.
Start Slowly: Begin with the smallest size and gradually progress to larger sizes.
Stay Relaxed: Relaxation is crucial. Deep breathing and calming techniques can help reduce tension. Consistently checking in with how your body feels both physically and emotionally throughout this process is key.
Avoid pain: If pain is higher thank a 3/10 intensity, stop and tell your pelvic floor therapist at your next session, and consider reducing down to the previous size.
Use Lubrication: Adequate lubrication can help prevent discomfort and irritation.
How to Use the Trainers
Using vaginal trainers involves a few straightforward steps:
Preparation: Wash your hands and the trainer. Apply a generous amount of water-based lubricant to the trainer.
Positioning: Find a comfortable position, such as lying on your back with your knees bent. Consider using support from pillow to ensure your legs and abs are relaxed.
Insertion: Gently insert the trainer into the vagina, aiming for a depth that feels comfortable. Hold it in place while taking some calming breaths. Remember this shouldn’t feel higher than a 3/10 pain intensity.
Gentle stretching: Consider gentle stretching if pain levels are less than a 3/10 intensity. Gently pull trainer downward toward the rectum and/or sideways toward your legs.
Removal: Slowly and gently remove the trainer after use.
Cleaning: Clean the trainer with mild soap and water, then let it air dry.
Positioning of Body and Pelvic Floor for Dilator Use
This illustration is demonstrating an option for using a vaginal dilator in a comfortable, semi-reclined position. Remember to do what feels most comfortable for your body.
Top 10 Tips for Using Vaginal Trainers
Start with the Smallest Size: Gradually increase the size as your comfort level improves.
Stay Relaxed: Practice relaxation techniques before and during use.
Use Plenty of Lubricant: This reduces friction and makes the process more comfortable.
Be Patient: Progress can be slow, but persistence pays off.
Warm Up: Gentle pelvic floor stretching or breathing exercises before using the trainer can help.
Avoid pain: Remember dilator training shouldn’t elicit higher than a 3/10 intensity of pain.
Going down in size is okay: Some sessions you might have to go down in dilator size and that is completely normal.
Stay Positive: A positive mindset can improve your overall experience. If you are not in the best mindset beforehand consider just focusing on relaxation exercises and skip dilator training for that day.
Communicate: Keep in touch with your healthcare provider about your progress and any issues.
Listen to Your Body: If something feels wrong, stop and consult a professional.
FAQs about Vaginal Trainers
Q: What is a vaginal dilator?
A: A vaginal dilator is a device used to stretch and relax the vaginal muscles, helping to treat conditions like vaginismus and dyspareunia.
FAQ: How Do I Use Vaginal Dilators According to the Clock Diagram?
Q: What is the purpose of the clock diagram in vaginal dilator usage?
A: The clock diagram helps in identifying the different positions within the vaginal canal, guiding the user to target specific areas for effective muscle stretching and relaxation. Imagine the vaginal opening as the center of a clock, with 12 o'clock at the top (towards the pubic symphysis) and 6 o'clock at the bottom (towards the rectum).
Q: How should I use the clock diagram when inserting the vaginal dilator?
A: Here’s how you can use the clock positions to guide your dilator usage:
Prepare the Dilator: Apply a generous amount of water-based lubricant to the dilator.
Find a Comfortable Position: Lie back in a semi-reclined position with your knees bent and feet flat, or any position that is comfortable for you.
Insert the Dilator: Gently insert the dilator into your vaginal canal. Use the clock diagram to position the dilator tip at different "clock" positions to target specific muscles:
12 o’clock position: This is towards the front, near the pubic symphysis.
3 o’clock position: To the right side.
6 o’clock position: Towards the back, near the rectum.
9 o’clock position: To the left side.
Rotate the Dilator: Slowly and gently move the dilator to different clock positions focusing on primarily 3 o’clock, 6 o’clock, and 9’clock, holding it at each position for a few seconds to a minute to stretch and relax the muscles.
Breathe and Relax: Deep breathing can help relax your pelvic floor muscles during this process.
Remove and Clean: After using the dilator, gently remove it and clean it with mild soap and warm water. Allow it to air dry completely before storing.
Q: Why is it important to target different clock positions with the vaginal dilator?
A: Targeting different clock positions ensures that all areas of the pelvic floor muscles are evenly stretched and relaxed. This can help in addressing muscle tightness and improve the ability of the vaginal canal to accommodate a larger circumference.
Q: How often should I use the vaginal dilator and for how long?
A: Typically, using the dilator for 10-15 minutes per session, a few times a week, is recommended. However, it’s crucial to follow the specific guidance provided by your healthcare provider, as individual needs vary.
Q: Can the clock positions help with specific pelvic floor conditions?
A: Yes, the clock positions can be particularly helpful in targeting specific muscle groups that may be contributing to conditions such as vaginismus, dyspareunia, or general pelvic floor tightness.
Using the clock diagram can make the process of vaginal dilation more systematic and effective, ensuring that all areas of the pelvic floor are addressed for optimal results.
Q: How to use vaginal dilators?
A: Apply lubricant to the dilator, insert it gently into the vagina, hold it in place for the recommended time, consider moving it around the clock positions, and then remove it slowly.
Q: Do vaginal dilators work?
A: Yes, when used consistently and as directed by a healthcare professional, vaginal dilators can effectively reduce symptoms of pelvic floor disorders.
Q: How long should I use the trainer each time?
A: Typically, sessions last between 10-15 minutes, but follow your provider's instructions.
Q: Can I use vaginal trainers during menstruation?
A: It’s usually best to pause during heavy flow days, but you can certainly still use the trainers on lighter days if you feel comfortable doing so.
Q: Are vaginal trainers safe to use?
A: Yes, when used correctly and as directed by a healthcare professional.
Q: Can I use a vaginal trainer if I'm pregnant?
A: Consult your healthcare provider before using vaginal trainers during pregnancy.
Q: How do I clean my vaginal trainer?
A: Use mild soap and warm water, then let it air dry completely.
Conclusion
Vaginal trainers and dilators are valuable tools for women dealing with pelvic floor disorders. With the right type, proper guidance, and consistent use, they can significantly improve symptoms and enhance quality of life. Always consult with a healthcare provider before starting, and follow the guidelines to ensure safe and effective use.
Written by:
Dr. Jana Richardson, PT, DPT, WCS, PRPC, CIDN
Dual Board Certified Pelvic Floor Therapist and Owner of Chicago Pelvic Health
Dr. Jana Richardson is a highly accomplished pelvic floor therapist with dual board certifications and extensive experience in treating complex pelvic floor dysfunctions. As the owner of Chicago Pelvic Health, Dr. Richardson is dedicated to providing personalized and effective care for her patients. With a Doctorate in Physical Therapy, and specialized certifications in Women’s Health and Pelvic Rehabilitation, Dr. Richardson is a leading expert in her field. She is also certified in Integrative Dry Needling, further enhancing her ability to offer comprehensive treatment plans. Dr. Richardson’s commitment to patient-centered care and her passion for helping individuals achieve optimal pelvic health make her an invaluable asset to the community.
