Vulvar Vestibulitis (Vestibulodynia)

Vulvar vestibulodynia or vestibulitis is manifested by hypersensitivity to pain in the vaginal orifice (vestibule). This can affect relationships as it can also make touching or touching painful.

In this post we will talk about:

  • Symptoms of vulvar vestibulitis
  • Main causes of vulvar vestibulitis: here’s what causes it and what makes it worse
  • How is vulvar vestibulitis treated?

Vulvar vestibulitis or vestibulodynia is an inflammation of the tissues found at the entrance to the vagina (vestibule). It can occur at any age, but many of the predisposing conditions or causes can be particularly common in menopause .

Symptoms of vulvar vestibulitis

  • Redness of the mucous membrane of the vulva and the entrance to the vaginal orifice
  • Medium to intense burning right at the entrance to the vagina
  • Hypersensitivity and pain even when just touching the vulvar vestibule
  • Immediate pain when trying to have intercourse

Main causes of vulvar vestibulitis: here’s what causes it and what makes it worse

When the gynecologist makes a diagnosis of vestibulodynia and after explaining to the patient what it is, the question is often asked: how did I take it (what does it depend on?)? A question not easy to answer, because vulvar vestibulitis can have different causes that often tend to overlap, making this disorder longer to resolve and, at times, relapse .

Let’s see what are the main causes from which vulvar vestibulitis can develop and / or worsen .

Frequent infections or inflammation

If you are someone who frequently develops vaginal infections you should take care to read this article carefully and try to avoid all other causes to reduce the risk of vulvar vestibulitis.

One of the causes of vulvar vestibulitis could be derived from the hyperactivation of the mast cell , a sort of defense cell that proliferates just when an infection / inflammation develops, such as:

  • Candida and candida inflammation
  • Microtrauma or small lesions which can in turn be the result of vaginal dryness , Vulvo Vaginal Atrophy or decreased desire
  • Cystitis


In menopausal women , Vulvo Vaginal Atrophy is a very frequent disorder so much that it affects almost 1 in 2 women. It is more properly a chronic condition that should be identified early and treated appropriately by the specialist because, over time, it tends to worsen .. If in doubt, consult a gynecologist who specializes in menopause in your area .

Use of too aggressive intimate soaps or too frequent washing

Intimate hygiene in menopause must be addressed in the right way and using the right intimate cleansers, suitable for the age. Here are the characteristics of the right intimate soap to use in menopause .

Incorrect lifestyle habits

The inflammations at the origin of vulvar vestibulitis can also derive from some incorrect daily behaviors, such as:

  • Choice of tight or too tight clothing. In this case, a particularly tight trousers could make normal perspiration difficult and cause microtrauma to a mucosa already predisposed to inflammation.
  • Habit of consuming foods rich in simple sugars and yeasts , such as sweets, ice cream, carbonated drinks, chocolate or bread, pizzas, beer.

How is vulvar vestibulitis treated?

First of all, a gynecological visit is essential to know the progress of the inflammation and the possible presence of other disorders or diseases that could worsen the symptoms. It is in fact essential, in most cases, to resort to a suitable treatment to sedate the production of the mast cell and for this reason the consultation with the specialist is essential .

In addition to this, careful prevention of behaviors that could worsen vulvar vestibulitis is also essential , therefore:

  • Careful prevention of infections and inflammation
  • Maximum attention to intimate relationships (a period of abstention would be preferable until the specialist approves the normal resumption of sexual activity)
  • Be careful to avoid incorrect behaviors and lifestyles
  • If necessary, muscle relaxation sessions can be used (excessive contraction of the pelvic muscles can also worsen inflammation).



Leave a Comment