Very true Jess LOL! It can get kind of funny actually. My Urogyn said...just be glad you aren't a guy! (Men can get this too). So, you can imagine. But in all seriousness, yes, it can be quite painful. Just one thing though and I hope I am not too graphic. Use the SMALLEST dilator or rather the PT should know and will probably tell you the same thing. Let us know how your next appointment goes and good luck.