Overview

Radiotherapy can cause narrowing and shortening of the vagina, and reduce the elasticity (stretchiness) of vaginal walls. Using vaginal dilators will allow follow-up examinations and sexual activity to be more comfortable. Vaginal sex can replace the need for dilators depending on frequency.

The vaginal dilators should be used 2 to 3 times a week, for 5 to 10 minutes each time. They can be used when you’re standing up or lying down.

Using the dilators

1. Attach the smallest dilator to the grey handle and twist clockwise to lock it in place.
2. Place some lubricant on the dilator shaft and a small amount to the entrance of your vagina.
3. Slowly insert the dilator into your vagina. Do not force it.
4. When it’s comfortably inserted, move the dilator forward and back, and in a circular motion. This should break down any scarring caused by the radiotherapy at the top of the vaginal vault.
5. Gently remove the dilator.
6. Wash the dilator and handle with warm soapy water, rinse them, and allow to air dry.
7. To detach the dilator shaft from the handle, twist it anticlockwise.

You can move up through the different sizes of dilators when you feel ready. There should be no pain when a dilator is fully inserted.

If you get to a size that feels too uncomfortable, drop down to the previous dilator size, and stick with that size.

Risks of using vaginal dilators

When you first use the dilators, you might get:

• some spotting
• blood stained discharge
• an increase in vaginal discharge

Do not worry if you get these side effects. They are perfectly normal.

Length of time to use your dilators

Dilators usually need to be used for at least 5 years, while your follow-up appointments with your consultant continue. However, this may be increased to a lifetime, based on what your consultant views during internal examinations. You can discuss this with your consultant at your follow-up appointment.

We currently provide plastic dilators, but other types are available to buy online. If any part of the dilator starts to get worn or degrade (usually silicone) you must replace them.