MSH Medical Dilators
Registered Medical Device

MSH Medical
Dilators

Clinically designed for gentle, progressive vaginal dilation therapy. Developed with leaders in sexual and pelvic health, locally manufactured in South Africa, and trusted by healthcare professionals worldwide.

Safe Comfortable Clinically trusted
The only vaginal dilators in South Africa with NAPPI codes

MSH Medical Dilators are registered medical devices, formally recognised by South African healthcare systems. Each size is listed on the NAPPI database, making it possible for you to claim from medical aid.

SAHPRA Registration 00003929MD
Units distributed 15 000+
Made in South Africa
MSH Dilators – Who It's For
Clinical Indications

Who MSH Medical Dilators are for

MSH Medical Dilators are used in therapeutic care plans for a range of conditions affecting vaginal comfort and penetration. They may be recommended by a healthcare professional to support safe, gradual dilation therapy.

01
Vaginal tightness or pelvic floor tension

For vaginal tightness, discomfort, or hypertonic (overactive) pelvic floor muscles that make penetration difficult.

02
Pain during penetration & vaginismus

For dyspareunia (painful intercourse) and vaginismus, where involuntary muscle contraction makes penetration painful or impossible.

03
Menopausal vaginal changes

For vaginal dryness, thinning, or loss of elasticity associated with menopause and hormonal transitions.

04
Recovery after cancer or surgery

For vaginal rehabilitation following cancer treatment, pelvic radiation, or gynaecological surgery.

05
Intersex & DSD conditions

For vaginal dilation therapy in certain intersex variations and differences of sex development (DSD).

06
Surgical neovagina maintenance

For ongoing maintenance of surgically created neovaginas to preserve depth and elasticity over time.

MSH Dilators – What Makes Them Different
Product Features

What makes MSH Dilators different

Every detail has been clinically considered — from the silicone itself to the way each dilator warms to body temperature, to the progressive sizing system that supports therapy at your own pace.

Medical-grade silicone

Body-safe, durable, non-porous, and easy to clean. Made from the same grade of silicone used in clinical medical devices.

Thermally responsive

Gently warms to body temperature for added comfort. Can be warmed in hot water before use to ease insertion.

Numbered for clarity

Each dilator is clearly numbered so you always know where you are in your progression — no guessing.

Progressive sizing

A full range including half-size stub dilators, so you can advance gradually with small, manageable steps.

Ergonomic design

Soft rounded tip and tapered oval base, engineered in real clinics for comfort during longer therapy sessions.

Wearable stub options

Shorter intermediate stub dilators are designed to be worn while walking or going about your day.

Proudly South African

Designed and manufactured locally by a licensed medical device manufacturer — no imported shipping delays.

Instructions included

Each set arrives with a complete Instructions for Use (IFU) booklet and a discreet storage pouch.

Discreet delivery

Plain, unbranded packaging delivered to your door. No flashy branding, no invasive marketing — just dignity.

Safety standards
Latex-free BPA-free Phthalate-free Non-toxic SAHPRA registered
MSH Dilators – Choose Your Dilator
Find the Right Fit

Which dilator should you start with?

Your starting size depends on your comfort right now — not where you want to get to. A healthcare provider can help you decide, but here's a simple way to think about it.

If you can't
Insert anything comfortably
MSH Dilator Size 1
Start with
Size 1

The smallest dilator in the range. Designed as a gentle starting point for first-time dilation therapy.

Buy Size 1
If you can
Insert one or two fingers
MSH Dilator Size 4
Start with
Size 4

A mid-range size for those already comfortable with finger penetration, ready to progress to structured therapy.

Buy Size 4
If length
Isn't the issue, girth is
MSH Stub Dilators
Try our
Stub Dilators

Shorter, wearable dilators in half-sizes — designed to progress girth gently while you go about your day.

Buy Stub Dilators
If you want
To be guided step by step
MSH Full Dilator Set
Choose the
Full Set (1–5)

The complete starter set — progress through each size at your own pace with everything you need from the beginning.

Buy Full Set
MSH Dilators – Product Range
The Full Range

Shop MSH Medical Dilators

Three clear paths, depending on where you are in your therapy. Buy a complete set, choose an individual size, or go for a shorter wearable stub dilator for gentle half-size progression.

MSH Individual Dilators
Single Sizes
Individual Dilators

Buy just the size you need. Useful if you're already partway through your therapy, want to replace one size, or prefer to build up gradually.

Available sizes 1 2 3 4 5 6 7
Choose Your Size
MSH Wearable Stub Dilators
Wearable Half-Sizes
Stub Dilators

Shorter, wearable dilators in half-sizes. Perfect for gentle girth progression between standard sizes, or to wear discreetly while going about your day.

Available half-sizes 2.5 3.5 4.5 5.5 6.5 7.5
Choose Your Size
Sizing Reference

Full dimensions

Measurements in millimetres. Each dilator's length and girth is clinically calibrated for progressive therapy.

Standard Dilators
Sizes 1 to 7
MSH Standard Dilators sizing chart
Stub Dilators
Half-sizes 2.5 to 7.5
MSH Stub Dilators sizing chart
MSH Dilators – How to Use
Using Your Dilator

How to use MSH Dilators

Dilation therapy works best when it's gentle, consistent, and relaxed. Here's a simple framework to get started — but always follow the Instructions for Use (IFU) enclosed with your dilator and, where possible, work with a healthcare provider.

1
Prepare your space

Choose a calm, private time when you won't be interrupted. Have everything ready before you start.

  • Your dilator
  • Water-based lubricant
  • A towel or cushion
  • A mirror (optional)
2
Relax your body

Tension makes dilation harder. Spend a few minutes settling before you begin.

  • Breathe slowly — in for 2, out for 4
  • Scan your body for tension and release it
  • A warm bath beforehand can help
  • Warm the dilator in warm water if preferred
3
Insert gently

Start with your smallest comfortable size and move at your own pace.

  • Apply lubricant generously to the dilator
  • Lie on your back, knees bent, legs relaxed
  • Rest the tip at the entrance and breathe
  • Insert slowly; pause if you feel discomfort
4
Hold and breathe

The goal is gentle stretching over time — not pushing through pain.

  • Keep the dilator in for up to 30 minutes
  • Continue breathing slowly throughout
  • If there's pain, remove and try again later
  • Stop immediately if discomfort increases
5
Remove and clean

Take your time removing. Aftercare matters as much as the session itself.

  • Wait until you're fully relaxed before removing
  • Wash with warm water and mild soap
  • Dry completely before storing
  • Store in the pouch provided, away from sunlight
6
Progress at your pace

When your current size feels easy, you're ready to move up. This is a process, not a race.

  • Move up when insertion feels comfortable
  • Use stub dilators to bridge between sizes
  • Aim for 3–4 sessions per week
  • Celebrate small wins along the way
MSH Dilators – Frequently Asked Questions
Frequently Asked Questions

Your questions, answered

Whether you're just starting out or well into your therapy, here are the most common questions we hear — answered clearly, without judgement.

Still unsure?
Speak to a credible sexual health provider

Our multidisciplinary team can guide you through dilator therapy step by step — online or in person.

Find a Provider
Does it hurt?

Not if used correctly. You might feel some pressure or slight discomfort at first, but it should never be painful.

The goal is gentle stretching — not pushing through pain. Breathe, go slowly, and stop if anything feels too intense. It's okay to take your time.

How long does it take to work?

Everyone is different. Some people notice progress within a few weeks, while others need several months.

What matters is consistency, not speed. This is a process, not a race.

How often should I use my dilator?

Start with once a day for 10–15 minutes. As your comfort increases, aim for around 30 minutes per session, 3–4 times a week.

Once you're using your goal size comfortably, you can reduce frequency to maintain progress.

Can I sleep with my dilator in?

Yes — if you're comfortable and relaxed enough. Many people find success sleeping with smaller dilators or Stub Dilators, often using tight underwear or leggings to hold them in place.

Start slow and listen to your body.

How do I know when to move up a size?

If you can insert your current size easily, without resistance or emotional stress, you're probably ready to try the next one.

Some people also use two sizes in a single session — starting with the smaller one and then progressing to the next.

What's the benefit of half sizes?

Half sizes are ideal for gentle, gradual progress. If the jump between two standard sizes feels too big, a half size gives your body a chance to adapt slowly — reducing fear and discomfort.

Our Stub Dilators come in half sizes, shorter and wearable for daytime use.

What if I get stuck or feel like I'm not progressing?

Plateaus are common — and temporary. Take a break if needed, revisit breathing and relaxation, or step back to a smaller size for a few days.

If you're still feeling stuck, it might be helpful to see a pelvic floor physiotherapist for personalised support.

Can I walk around with a dilator?

Yes — that's exactly what Stub Dilators are for. They're shorter, with in-between widths, and designed to be worn while standing, walking, or going about your day.

They can be used for passive stretching while you're busy with other things.

When should I involve my partner?

Only when you feel emotionally and physically ready. A good starting point is when you're comfortable inserting a Size 5 dilator.

You can gradually introduce them into the process — guide their hand, let them observe, and communicate openly throughout.

How do I know if I'm ready for sex?

You're ready when you can insert a dilator that's similar in size to your partner's penis without pain or panic.

Still unsure? Use a string to measure the girth of the penis and compare it to your dilator. Start slowly, communicate clearly, and follow your body's cues.

Once you're ready for penetration, you can switch from a water-based lubricant to a silicone-based lubricant for partnered sex. Silicone lubes are long-lasting and gentle — especially helpful if you're still building confidence.

What position is best for first-time penetration?

Being on top often gives you the most control over depth and speed. If that feels awkward, lying on your back and guiding your partner slowly toward you can work just as well.

Replicate your usual dilation routine as a lead-in.

Do I still need to dilate if I'm having sex regularly?

It depends on frequency and comfort. If you're having pain-free intercourse at least 3 times per week, you may not need to dilate anymore.

If sex is irregular or still slightly uncomfortable, keep up your dilation routine for maintenance.

What if I experience burning or discomfort afterward?

A slight burning feeling can happen — it's usually from stretched muscles or irritated nerves. Try soothing the area with a gentle intimate soothing gel, a water-based lube, or a silicone-based lubricant.

If you've been prescribed any creams by your doctor, you can also reapply them.

Should I see a pelvic floor physiotherapist?

Yes — especially if progress is slow, pain persists, or you're unsure of your technique. These professionals specialise in treating conditions like vaginismus and can make a world of difference.

Find a qualified pelvic floor physiotherapist in your area.

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