Vestibulitis is characterised by inflammation of the vestibule (Figure 2.2) or pain in the vestibule with no abnormality that can be seen. There may be dyspareunia (pain with intercourse –Q.23.31). Usually the painful area tends to be atthe back of the vestibule but it can sometimes be specifically located at the sites of the ducts from the Bartholin’s glands (Figure 2.2).
How can my vestibulitis be treated?
Your doctor will wish to examine you to see exactly where there is tenderness and to exclude obvious disease including infection. If the cause can be determined appropriate treatment can be provided. When no obvious cause is found empirical treatment including anti-fungal agents, antibiotics, topical steroids, analgesics (pain-killers) and amitriptyline (12) may be tried. Occasionally, the tender area of skin may be removed surgically (partial vestibulectomy).
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