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Symptoms may occur in one place ("localized") or the entire vulvar area ("generalized"). It can occur during or after sexual activity, when tampons are inserted, or when prolonged pressure is applied to the vulva, such as during sitting, bike riding, or horseback riding. [7] The pain can be provoked by touch ("provoked") or constant ("unprovoked").
The pain can manifest in several ways, per OWH: very painful menstrual cramps, chronic pain in the lower back and pelvis, pain during or after sex, intestinal pain, and pain when you poop or pee.
A vestibulectomy is a gynecological surgical procedure that can be used to treat vulvar pain, specifically in cases of provoked vestibulodynia. Vestibulodynia (vulvar vestibulitis) is a chronic pain syndrome that is a subtype of localized vulvodynia [1] where chronic pain and irritation is present in the vulval vestibule, which is near the entrance of the vagina. [2]
Tight muscles can even contribute to and cause pain in the posterior area of the vestibule. People with hypertonic pelvic floor dysfunction may experience urinary symptoms like urgency and/or symptoms like constipation, rectal fissures, hip pain, and/or lower back pain. [10] Pain extending outside of the vulvar vestibule may have other sources.
Vulvodynia, or painful vulvar syndrome, refers to “pain in the vagina or vulva (which can include the clitoris, labia, vestibule-vaginal opening, and urethra) that lasts at least three months ...
Some women develop cysts after trauma to the vaginal walls (like childbirth or surgery). If a cyst doesn’t go away on its own, your doctor can drain or remove it. 5.
Vaginal stenosis is an abnormal condition in which the vagina becomes narrower and shorter due to the formation of fibrous tissue. [1] [2] Vaginal stenosis can contribute to sexual dysfunction, dyspareunia and make pelvic exams difficult and painful. [1] The lining of the vagina may also be thinner and drier and contain scar tissue.
Perineoplasty (also perineorrhaphy) denotes the plastic surgery procedures used to correct clinical conditions (damage, defect, deformity) of the vagina and the anus. [1] [2] [3] Among the vagino-anal conditions resolved by perineoplasty are vaginal looseness, vaginal itching, damaged perineum, fecal incontinence, genital warts, dyspareunia, vaginal stenosis, vaginismus, vulvar vestibulitis ...