Testoryl women been very effective because what i've seen at least in my practice historically since sex is painful what very distressed that sex is this thing that society says should be amazing should be great but for them it's a very painful botox you know botox it's you know most people are familiar with it for its cosmetic reasons you know i use it for my hyperhidrosis but actually for women um it's been very helpful for for the painful intercourse including the spasms and and and even for the persistent genital arousal so yeah that's you know it really depends on how severe the symptoms are and how they last you know of course if it's caused by something like a fibroid or endometriosis you know the treatment would be to treat those underlying causes but otherwise you know we would try an antidepressant or something like botox well it's interesting that i certainly heard about botox and i had clients that they used it and it was successful for them i recently read this article published that was provided like like forwarded to me by another sex therapist