Women with painful intercourse are often diagnosed with a hypertonic pelvic floor, a condition in which you cannot relax the muscles of the pelvic floor, causing them to be perpetually spasmed. To relax this spasm, your doctor may prescribe vaginal valium in conjunction with pelvic floor physical therapy. Vaginal valium can decrease pain associated with pelvic floor physical therapy and other interventions, thus allowing women to make better progress with their physical therapy. 

Vaginal valium is not to be used alone to treat hypertonic pelvic floor, as it will not treat the root cause for why the spasm exists in the first place. It is usually prescribed in small amounts, either 5mg or 10mg, and inserted into the vagina daily for a short period of time. Often, if vaginal valium therapy does not improve symptoms, urogynecologists will recommend trigger point injections to the pelvic floor or even pelvic floor botox injections. 

If you're experiencing painful sex, be sure to check in with your doctor to see what might be right for you!

xo,

Dr. Desai