Dilator FAQs

What are the dilators made of?

Hope and Her dilators are injection-molded from medical-grade plastics. They are non-toxic, BPA-free, and latex-free. The dilators are fabricated in a “clean-room” process, ensuring minimal contamination and high quality control. They are designed with a silky-smooth finish that ensures maximum comfort and ease of insertion.
Beyond the materials, they are also designed with many other benefits such as the natural tip shape, external handle, slight taper for easier transition between sizes, an appropriate size range, and other benefits. They are highly effective for treating vaginismus, as well as for post-surgical recovery programs, dyspareunia, vaginal narrowing, vaginal agenesis, and other similar gynecological conditions.

Are your dilators toxic free?

These dilators are medically graded (FDA INT), non-toxic, BPA-free, and latex-free. They are highly effective for post-surgical recovery programs as well as for treating vaginismus, dyspareunia, vaginal narrowing and other similar gynecological conditions. [CPT Code: Procedure 57400 or 58999, HCPCS Code: E1399, Supplies: 99070]
Our dilators sets are also manufactured and assembled in the U.S.A. so we can offer a top quality product.

Will my health insurance cover the cost of buying dilators?

Insurance reimbursement varies. We do not directly handle any insurance reimbursement. Customers are advised to contact their health insurance provider. Eligibility factors may include what is being treated, what type of insurance coverage or carrier is being used, whether the dilators have been prescribed by a treatment professional or physician, and other factors. In practice, we know that some women have received reimbursement, while other’s claims have been rejected. In some cases, women have been asked for “letters of necessity” from a treating physician before their insurance would process the claim.
In the USA, the codes most often used for insurance reimbursement are:
CPT Code: Procedure 57400 or 58999
HCPCS Code: E1399
Supplies: 99070
As our mandate is to help as many women as possible with vaginismus and related conditions, we have made our dilators as affordable as possible with the lowest prices in the world for a quality, medical grade product.

Why are vaginal dilators used in treating vaginismus?

When used properly, vaginal dilators are very helpful with certain parts of vaginismus treatment. Vaginal Dilators can be very effective tools in helping to eliminate the limbic system reaction, the underlying cause of vaginismus tightness, burning, and penetration difficulties. They help enable women to have precise control over the size, speed, and angle of insertions and provide a substitute means to trigger the muscle reflex in a sex-like context.
Together with appropriate exercises, as women consciously and consistently squeeze and relax the vaginal muscles with dilators insertions, they learn how to override the triggering response that had previously caused tightness or closed the entrance to the vagina to sex. The process helps create new “muscle memories.”
Through the proper use of dilators, women can more easily develop control over involuntary tightness and simultaneously desensitize their vaginal muscles, body and mind to the sensation of having something in their vagina. This is all done as transition preparation for inserting the “real thing” (i.e. the man’s penis) without pain or tightness. Together with appropriate exercises, they help women retrain their bodies to respond correctly to penetration and to transition to fully pain-free intercourse.

Why is it important to use a treatment program?

Following a program has many benefits. Even simply eliminating all of the guesswork and confusion is a huge help with an effective step-by-step process. Comprehensive vaginismus treatment includes steps that do not involve dilators at all.
The Hope and Her process uses a whole woman approach, addressing both physical and emotional aspects of vaginismus and providing detailed instructions, illustrations, animations, a support group, and problem-solving strategies that really make a difference.
Having in-depth knowledge of the problem, and being able to understand and follow sensible strategies to overcome it, increases confidence while reducing anxiety and frustration levels. It is difficult to know how to properly use the dilators to overcome vaginismus without guidance, often leading to avoidance or ultimately abandonment of treatment due to frustration.

Can the dilators be used to treat other conditions besides vaginismus?

Dilators are successfully used by health professionals to treat a wide variety of medical conditions.
Physicians and other health professionals often recommend dilators for post-surgical recovery programs and conditions such as dyspareunia, vaginal narrowing, vaginal agenesis, vaginal atrophy, age related problems/changes, reconditioning the vagina after long periods of no sex, and other similar gynecological issues.
The Hope and Her dilators set comes with a range of sizes, easy to use handle, and carrying case. In all instances, patients should consult with their physician or healthcare provider for professional treatment recommendations and applicability.

If my hymen is still intact, will using the dilators break it and will this hurt?

Hymen membranes typically have few nerve endings and pull apart painlessly.
With physical maturity by the time a woman reaches her late teens, the hymen will typically become a very thin, elastic membrane that may partially separate or fully pull apart. It normally has few nerve endings and correspondingly little feeling or pain when it does pull apart.
If a woman still has whole or parts of her hymen remaining intact prior to dilator insertion, there is a possibility that it either may simply stretch to the side or it may partially or fully pull apart (similarly true with the use of tampons—that the hymen may pull apart to some varying degree).