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Overview

Vulvar vestibulitis is the inflammation of mucous secretingglands at the entrance of the vagina as well as the skin enveloping theseglands. Sometimes the condition occurs only in the lower part around theopening of the vagina and is marked by redness and pain. The condition may affect all women, regardless of their ageand sexual activity because cases of vulvar vestibulitis have been reported even incelibate women. Some women may go on for months or years searching forrelief from this unpleasant condition.

Not all women experience the same symptoms that vary fromtype to type of the condition. Sometimes a woman has the signs characteristic ofseveral different types. Women whose symptoms put them in two categories of thecondition need to be treated for both. Below is the description of various types of vulvarvestibulitis and the accompanying symptoms.

AtrophicVestibulodynia

The pain comes on gradually and at first appears only after the intercourse. The woman may experience burning or pain which tends to becomeless severe after penetration. With time the woman may start having pains evenwhen sitting or cycling. Eventually, the pain becomes chronic.

Vaginismus

The signs of this condition are redness of the vestibule(the area around the opening of the vagina) pain and tightness which in mostcases originate from the part of the vaginal opening closest to the anus. Thewoman suffering from vaginismus has partial or full inability to experiencepenetration, including sexual intercourse or the insertion of tampons.

Irritant/AllergicContact Vaginitis

This is the case of major inflammation of vestibule, accompanied by persistent pain which can occur during urination, penetration orany other sort of contact.

NeuronalProliferation

This condition is characterized by extreme pain whentouching the vulvar area. Sexual intercourse tampon insertion, cycling,wearing tight clothes are just some of the activities that aggravate the pain.Even light touch like wiping and toweling can cause pain for some women.

Cyclic Vulvovaginitis

The pain accompanying cyclic vulvovaginitis follows a certainpattern. During the period, women are less likely to have any pains. They tendto occur at the end of menstruation and during ovulation. Once ovulationpasses, women experience temporary relief only to have their symptoms aggravatedbefore the monthly bleeding starts again. Other activities that can make the symptoms worse are sexualintercourse (tenderness and thin white discharge can also occur), wearing wetor sweaty clothing and using a hot tub or pool.

Pelvic FloorDysfunction

This condition arises as a result of weak muscles around thevagina which makes them difficult to control. When these muscles get tight theybecome tender, so the person experiences muscular spasms and exhaustions.

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