Vestibulodynia

Vestibulodynia is a condition which results in the hypersensitivity of the vestibule (the entrance of the vagina). This may include pain as a result of light touch, using a tampon, intercourse or other stimulus around the vestibule area such as tight clothing.

The way women experience vestibulodynia can vary widely. Some women may experience discomfort but can still enjoy sex, while for others, even light touch or pressure, such as from tight clothing, can result in intense soreness and pain.

For some, the onset of pain with touch may be the first noticeable symptom, making it difficult to trace back to a specific cause. In other cases, the pain may have started after an event like a severe episode of thrush, childbirth, or in connection with a diagnosis of bladder pain syndrome.

The frequency and timing of pain can also differ among women. For some, it may be intermittent and only occur when provoked, while for others, it can be persistent and continue even after the triggering activity. The intensity of the pain can range from mild discomfort to severe, constant pain that may even make sitting comfortably difficult.

Although nothing may appear abnormal during an examination, the pain is very real and often results in a physical response. The body may react to stimuli that shouldn’t cause pain by triggering a secondary protective muscle spasm in the pelvic floor, further contributing to the pain cycle.

Many healthcare providers may not be familiar with vestibulodynia, so it’s important for women suffering from this condition to seek out a doctor, psychosexual therapist, or pelvic health physiotherapist knowledgeable about this condition.