Pain in the vulvar region can be uncomfortable and difficult to talk about.  It’s not like a sports injury or medical issue that you can chat about with your friends over coffee.  Although research in this area is growing, there’s a lot still to learn about vulvar conditions. Musculoskeletal issues like pelvic floor dysfunction or over-active pelvic floor muscles are often identified as being either a root or associated symptom if you have vulvar pain.  Vulvodynia itself is chronic vulvar pain without an identifiable cause.

You may have pain locally or generally in the vulvar region, sometimes dependent up on something touching that area (commonly diagnosed with a cotton swab test).  Symptoms can include painful tampon use, painful intercourse, painful GYN exmination and discomfort wearing tight fitting clothing. Women can have pain since the first attempt at vaginal penetration (Primary Provoked Vestibulodynia) or may have had pain-free penetration prior to the onset of vulvar pain (Secondary Provoked Vestibulodynia).

We work with a coordinated effort with you, your physician, and other providers to address issues including hormone imbalance, overactive pelvic floor musculature, and issues associated with chronic pain.

Other related diagnoses can include:

  • Vaginismus
  • Vulvar vestibulitis
  • Pelvic floor dysfunction
  • Chronic pelvic pain
  • Vulvodynia
  • Painful orgasm
  • Pudendal neuralgia


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