Recommendations will vary depending on the current issue and the physiotherapist's assessment. Typically, the dilator is recommended to be used every other day.
To date, there is no consensus regarding recommendations for dilator use.
Here is an example routine that can be used to get started:
- Lying on your back, hips and knees bent
- Take a few breaths to relax the body and pelvic floor muscles
- Apply lubricant to the entrance of the cavity. Begin inserting the dilator slowly, respecting the pain: do not exceed 4-5/10
- Hold for several minutes, as tolerated, without exceeding 10 to 15 minutes in total.
Subsequently, it is possible to progress with clockwork and oscillation movements and add contractions alternating with relaxation. The physiotherapist determines the characteristics of the dilator (size, thickness, etc.) and the exercise prescription (time, repetition, etc.). The use of the dilator is often done in combination with other stretching and muscle relaxation exercises as well as physiotherapy follow-up. It is recommended to use a suitable water-based lubricant when using the dilator. In addition, a vaginal moisturizer is also recommended, depending on the problem encountered.