Dilators: A Simple and Effective Stretch
Dilators are simple and effective for reconditioning the vagina and maintaining elasticity during fallow sexual periods.
Mar 28, 2018
May 05, 2022
Menopause & Aging WellDirector of the Women's Midlife Services at Holland Hospital
Holland, MI
Dr. Barb DePree, a gynecologist in practice for over 30 years, specializes in midlife women's health. She is certified through the North American Menopause Society as a provider, and was named the 2013 NAMS Certified Menopause Provider of the year. Dr. DePree currently serves as the director of the Women’s Midlife Services at Holland Hospital, Holland, Michigan. In 2018, she completed a certification in Genetic Cancer Risk Assessment.
A member of NAMS, ACOG and ISSWSH, Dr. DePree has been a presenter for the ACOG CME audio program. She has served as a key opinion leader for Shionogi, AMAG, Duchesnay, Valeant, Wyeth and Astellas leading physician education, and participating in research projects and advisory panels.
Finding that products helpful to her patients’ sexual health were not readily available, Dr. DePree founded MiddlesexMD.com that shares practice-tested, clinically sound information and products, including guidance for working with partners and caregivers. Dr. DePree publishes regularly on her own blog, providing updates on research in women’s sexual health, as well as observations and advice based on her work with women in her practice. Sharecare named her as a Top 10 Social Healthmaker for Menopause in September of 2013. In 2017, she was named among the “Top 10 Best Menopause Blogs” by Medical News Today. Dr. DePree also publishes podcast interviews on women in midlife, exploring the ways they have made the transition in their lives and careers.
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Even though vaginal dilators have been around for decades, they still elicit lots of attention and a few quizzical looks even from health care professionals whenever we display our wares at medical conferences. My patients sometimes have questions, too, and we get phoned-in and emailed questions here at MiddlesexMD.
Dilators are one of the most straightforward medical devices you'll run across. They are a set of tubes that gradually increase in diameter from about a half-inch to about an inch and a half. They are usually made of high-quality plastic, but may also be made of silicone, which gives them a softer, more flesh-like quality. Both types are washable with soap and water.
Dilators are used to increase vaginal "patency," the capacity and ability of the vagina to accommodate the things that it is made to accommodate, like a speculum, a baby, a penis—some pretty important stuff, in other words.
Dilators are used to:
Since some vaginal conditions might require additional treatment, such as localized estrogen or muscle relaxants, you should always discuss any vaginal pain or change in your ability to have sex with your doctor, as well as how you might benefit from using dilators. From there, if it's simply a matter of conditioning or maintenance, our shop has a selection of high-quality plastic and silicone dilators.
I recommend any of these sets. Choose the features and sizes that appeal to you. The first set that we found and offered remains a favorite. It's available with five or seven dilators, depending on your starting point, and the straight, solid cylinders are easy to handle and clean.
The silicone kit is firm yet flexible with a softer touch. (Bright colors don't hurt, either.) Be aware that silicone lubes will degrade the surface of these dilators, so use them only with water-based lubricants.
The Amielle kit is our high-quality, good-value choice. This set of five dilators is made of medical-grade plastic and includes a detachable handle that might make insertion easier.
Increasing vaginal capacity takes patience—often several months. For maintenance, you may need to use dilators regularly until you're having sex regularly. The goal is to accommodate your partner's penis (or your doctor's speculum) comfortably and without pain. It's a worthy goal, so accept that you're in it for the long haul.
To use dilators:
You may bleed a little at first. This is normal. But if you soak a sanitary napkin or experience frequent bleeding, this is not normal. Stop using the dilator and call your doctor.
I like dilators because they're both simple and effective. Granted, taking a pill is easier, but there are no pills that treat vaginal patency as such. If you stick to the regimen, dilators are very effective in both reconditioning the vagina and in maintaining elasticity during fallow sexual periods.
Barb DePree, MD, has been a gynecologist for 30 years, specializing in menopause care for the past 10. Dr. DePree was named the Certified Menopause Practitioner of the Year in 2013 by the North American Menopause Society. The award particularly recognized the outreach, communication and education she does through MiddlesexMD, a website she founded and where this blog first appeared. She also is director of the Women's Midlife Services at Holland Hospital, Holland, Michigan.