Vulvar vestibulitis is pain that is localized to the vestibulum (opening) of the vulva and is sometimes referred to as vestibulodynia. While there is not clear cause of vulvar vestibulitis there are a number of factors believed to contribute to symptomology. These include viruses (such as HPV), fungi causing candidiasis, muscular disorders causing muscle spasms and increased tone, and for patients with a long-standing diagnosis there is often an association with psychological symptoms. Vulvar vestibulitis may present as bright red inflammatory spots on the vestibular glands, slight redness and/or evidence of a raw area on the vulva, and ulcers in rare cases. Vulvar vestibulitis can be broken down into two classifications
i. Primary Vulvar Vestibulitis
Symptoms develop from the start of sexual activity or through the time duration it takes to insert a tampon. Speculum examination tends to be painful as well especially for women who have not had any form of sexual activity to date.
ii. Secondary Vulvar Vestibulitis
Symptoms are brought on by the same triggers as primary vulvar vestibulitis but there is a delay between the onset of symptoms and the trigger.
Vulvar Vestibulitis. Vulvar.org.