Vaginal dilator therapy-an outpatient gynaecological option in the management of dyspareunia.

The management of 18 women complaining of superficial dyspareunia is reviewed. Primary treatment consisted of self-vaginal dilatation using graduated glass dilators on an outpatient basis. All patients were given verbal explanation and written instructions. Treatment was considered successful with dilator therapy in 14 (77.8%) women. Three (16.7%) women required additional therapy in the form of surgery or psychotherapy. We conclude that in selected cases, self-vaginal dilator usage on an outpatient basis is effective primary therapy for superficial dyspareunia.