In vestibulitis, the small, superficial nerves found in the mucous membrane of the ventricle have become hypersensitive. It hurts in and around the opening to the sheath when you have slit or insert something into the sheath.
Most people who have vestibulitis become good at treatment.
Symptoms of vestibulitis
You often get one or more of these symptoms if you have vestibulitis:
- You feel intense, burning pain in the opening of the wear when you have or try to have intercourse. It can hurt even if you move gently.
- Do you feel pain for up to a couple of days after having a joint?
- It hurts when you insert a tampon or finger into the vagina.
- You can see a redness at the area that hurts.
- You are in such a hurry that you cannot wear tight pants, bike or ride.
What can I do for myself?
Since there are several reasons why you get vestibulitis, it is difficult to give general advice on what you can do to avoid getting into trouble. But there are several things you can try for yourself.
- Wash the abdomen with oil instead of soap. Apply the oil and wipe it off before showering. In this way, the abdomen is clean and at the same time protected from the water.
- Take a break if you are using hormonal contraceptives, such as birth control pills or hormonal spirals. Remember to protect yourself in some other way in the meantime.
- Only wear slit when you are sexually aroused. Then the vagina is moist and swollen and the risk of it hurt is less.
- Do not wear slit as long as you are in pain. Try other forms of sex .
- Tell the person you have sex with that you will get sore throats. It may feel hard to talk about, but you often feel better about it than pretending everything is good. Instead of intercourse, you can have other sex, such as oral sex or caress sex.
- Do not use non-prescription antifungal agents. Instead, you can go to a health center and ask for other treatments.
- Relax less and do relaxation exercises, yoga or massage.
When and where should I seek care?
If you think you have vestibulitis, it is important to seek help so that the problems do not get worse.
You can contact a youth clinic, midwife or a health center. They can help you and refer you to a gynecologist or a so-called vulva clinic. Volvo surgeries are found in several hospitals in the country and are specialized in joint pain.
You can seek care at any healthcare center you want throughout the country.
Investigations
The doctor first looks if it is red around the wear opening. After examining them, it was painful by gently pressing a cotton swab against various parts of the mucous membranes. The doctor is usually very careful, but if it hurts a lot you should, of course, tell the doctor to cancel the examination.
From the vagina, the doctor also takes some secretions, which are then examined by microscopy. Sometimes samples are also taken for fungi or bacteria.
Your doctor will diagnose vestibulitis if you have one or more of these symptoms:
- You feel pain during intercourse or when something is inserted into the vagina, such as a tampon.
- You have a redness in the slide opening.
- It aches with pressure over the blighted areas.
- You have had trouble for at least six months.
In order for you to be active in your care and to make decisions, it is important that you understand the information you receive from the healthcare personnel. Ask questions if you don’t understand. You can also ask to have the information written down so you can read it peacefully.
Treatment of vestibulitis
Most people who have vestibulitis become good at treatment. The vestibulitis can come back for example if you are stressed, but you can learn ways to deal with the pain and to cope with the hassles.
If you do not treat vestibulitis, you may have problems in an ever-larger area in the long run, and it may hurt to wear tight panties or pants.
Treatment for vestibulitis with drugs
You can lubricate yourself with a gel, Xylocaine, which you get printed on prescription. The gel numbs the nerves. It usually relieves the hassle. If you refrain from vaginal intercourse, healing will go faster. If you take a break with the pill at the same time, it can make healing faster.
You can also lubricate yourself with a fatty ointment such as Locobase, Decubal or white Vaseline. Lubricating oneself can be the way to get used to the skin of the abdomen when touched.
Xylocaine is also available as an ointment, but the ointment can sometimes burn and should therefore be avoided. You can also use an anesthetic called Emla, but it can also burn.
For some, it helps to eat Saroten, which is an established remedy for nerve pain.
Pelvic floor training can help
It can help to train the muscles of the pelvic floor. An easy and practical way to do this is to first squeeze as hard and as long as you can so that the muscles become completely tired, then it is easy to understand how it should feel when they are relaxed.
Sometimes you may need help from a ur therapist. A urotherapy therapist is a physiotherapist, midwife or nurse who is specially trained on the disorders of the urinary organs and on how the pelvic muscles work. From the urotherapy, you will learn to squeeze or relax in the pelvic floor muscles.
You can go into conversation therapy
Not only does the body need to relax, it also matters how you think. Therefore, it may be good to go and talk to someone, for example at a youth clinic or health center.
What does vestibule depend on?
It is not entirely clear what vestibulitis is due to. Sometimes it starts with you doing something that hurts, for example if you have abdominal pain while having a fungal infection. Although the fungal infection goes away, the pain remains as a memory in the body.
Usually, it is a combination of several different things that help to make the nerves in the slide open hypersensitive.
Here are some examples of things that can help you get vestibule:
- You wear slit even though you are not sufficiently excited and wet.
- You have sex even though you may not really want to.
- You often have a fungus in the genital area.
- You often treat yourself with non-prescription antifungal drugs, such as Pevaryl or Canesten, perhaps without having been diagnosed with fungi.
- You are using a contraceptive containing hormones, such as birth control pills or hormonal spirals.
- You have been treated for condyloma around the slide opening.
It is most common that you get vestibulitis when you are between 18 and 25 years. Every tenth woman in that age group has vestibulitis.
It can be difficult to distinguish between vaginism and vestibulitis. Unlike vestibulitis where it is the mucous membrane that hurts, vaginism is due to a spasm in the vagina. Sometimes you have both vestibulitis and vaginism at the same time.
Stress can aggravate the problems
Stress also affects the problems with vestibulitis. When you are stressed, it is more difficult to relax and feel what your body needs.
Pregnancy and vestibulitis
It is possible to give birth vaginally even if you have or have had vestibulitis. Some feel that the trouble diminishes or disappears completely after childbirth.
Advice to relatives and relatives
As a relative of someone with vestibulitis, you can do a lot to help:
- Satisfy your partner without wear and tear.
- Cancel what you do if your partner gets hurt.
- Support your partner and follow up on health care visits if they wish.