Vaginal dilation:
When it’s indicated
and tips on teaching it

Dilator therapy can offer a nonsurgical approach to restoring vaginal capacity and elasticity and alleviating sexual discomfort. Here’s how to instruct your patients on its use.

Dr. Kellogg Spadt is Director of Sexual Medicine.

Ms. Iorio is a Nurse Practitioner, Female Sexual Medicine.

Ms. Fariello is a Nurse Practitioner, Male and Female Sexual Medicine.

Dr. Whitmore is Medical Director and Chief of Surgery.

All are colleagues at the Pelvic & Sexual Health Institute, Philadelphia, Pennsylvania.

The authors report no financial relationships relevant to this article.

Vaginal dilators are used to restore vaginal capacity, to expand the vagina in width and depth, to provide elasticity to the tissues, and to allow for comfortable sexual activity. Vaginal dilators are smooth plastic, rubber, or glass cylinder-shaped objects that come in a variety of graduated sizes and weights.

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