Here at DiscovHER HEALTH, we care about

treating woman with HORMONALLY MEDIATED VESTIBULODYNIA.

Most people with painful sex & vulvar pain may not know where the vestibule is unless they have seen vulvar expert who explain vulvar anatomy. Importantly, the vestibule is anatomically different from the rest of the vulva and vagina.

Here at DiscovHER HEALTH, we care about

treating woman with HORMONALLY MEDIATED VESTIBULODYNIA.

Most people with painful sex & vulvar pain may not know where the vestibule is unless they have seen vulvar expert who explains the differences. Importantly, the vestibule is anatomically different from the rest of the vulva.

What is Hormonally Mediated Vestibulodynia?

Vestibulodynia is a subset of vulvodynia. Pain at the vaginal opening but not the labia or hair bearing sections of the vulva is a sign of vestibulodynia. The vulvar vestibule is the area that includes the urethra, skenes glands, and Bartholin glands. Pain in the anterior (top) of the vestibule is often found in vestibulodynia cases caused by decreased levels of hormones. Pain at the posterior (bottom) of the vestibule is often found in vestibulodynia caused by hypertonic (tight) pelvic floor muscles.

What is Hormonally Mediated Vestibulodynia?

Vestibulodynia is a subset of vulvodynia. Pain at the vaginal opening but not the labia or hair bearing sections of the vulva is a sign of vestibulodynia. The vulvar vestibule is the area that includes the urethra, skenes glands, and Bartholin glands. Pain in the anterior (top) of the vestibule is often found in vestibulodynia cases caused by decreased levels of hormones.

Topical estradiol and testosterone hormone gel can be made at a specialty pharmacy to help treat hormonally mediated vestibulodynia. The gel should be applied to the vestibule twice daily for at least 12 weeks. Other options include prasterone inserted in the vagina nightly.

Topical estradiol and testosterone can be made at a specialty pharmacy. It should be applied to the vestibule twice daily for 12 weeks. Other options include prasterone inserted in the vagina nightly.

Causes of Hormonally Mediated Vestibulodynia

Oral contraceptive use

Perimenopause and menopuase

Genetics and hormones

Allergies and Damage or irritation of the nerves of the vulva

Causes of Hormonally Mediated Vestibulodynia

Chronic yeast infections

Injury or trauma, including sexual abuse and childbirth

Sensitivity to irritants in detergents, soaps, douches and panty liners

Genetics and hormones

Allergies and Damage or irritation of the nerves of the vulva

Treatments for Vestibulodynia options include removing the culprit, applying a topical hormone cream to the vestibule, and treating associated symptoms like pelvic muscle pain.

Treatments for Vestibulodynia options include removing the culprit, applying a topical hormone cream to the vestibule, and treating associated symptoms like pelvic muscle pain.

Q-Tip Test

A q-tip test (also called a cotton swab test) is done to diagnose vulvodynia. No speculum is required!

Your health care provider may feel that other tests are necessary; these could include swabs to rule out infections or a biopsy to exclude skin conditions.

Learn More About the Q-Tip/ Cotton Swab Test

Help Guide On Hormonally Mediated Vestibulodynia

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Help Guide On Hormonally Mediated Vestibulodynia

Get A Free Guide to Learn More about Hormonally Mediated Vestibulodynia

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Treatment for vestibulodynia is aimed at relieving the pain and discomfort. It may take time both to find the treatment that works best for each woman, and time for a particular treatment to begin providing relief.

Learn More About Hormonally Mediated Vestibulodynia

See ONE OF OUR EXPERTS if you have any of the problems with this condition.

The recommended treatment will depend on the your symptoms and your overall health.

To make the best decision for you, discuss the risks and benefits with us.

DiscovHER Our Podcast:


Tune in to our enlightening episodes as we shed light on a wide range of topics from sexual wellness to financial wholeness. With the guidance of top professionals and the support of an inclusive community, we're here to help you reclaim your health, confidence, and happiness and show up as your BEST self.

See JENNA if you have any of the problems with this condition.

The recommended treatment will depend on the your symptoms and your overall health.

To make the best decision for you, discuss the risks and benefits with us.

DiscovHER Our Podcast:


Tune in to our enlightening episodes as we shed light on a wide range of topics from sexual wellness to financial wholeness. With the guidance of top professionals and the support of an inclusive community, we're here to help you reclaim your health, confidence, and happiness and show up as your BEST self.

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