Hi Becca. This is a very good question. I am now 2 years post-procedure as I had my procedure on 6/27/11. I dilated for one full year post-procedure and slept with the dilator every other night. Following this year time-frame, I stopped dilating and now only use the glass dilators prior to ob/gyn appointments. Physically, I know this is not going to hurt as I am adequately stretched out, but mentally, I always remember how bad my appointments were in the past and how much anxiety they produced and it always makes me feel so much better to dilate in advance of these appointments. It also took me a while to become comfortable with not dilating prior to intercourse and having spontaneous sex. I became very comfortable with dilating in advance but it did seem to make sex mechanical in the beginning. Then, one particular date night, we had a great dinner and came home and then just went for it, without me dilating/preparing in advance. I was initially nervous but I didn’t have the time to over-think this and it worked just fine. After this, we stopped using the dilators prior to intercourse and it became much more fun and spontaneous.