Trying to Get Pregnant

Vaginal Pain (Vestibulodynia) Update

As I have really appreciated the updates from ladies dealing with vaginal/pelvic pain, I thought I'd share, since I just got back from a specialist (and have found little to no information on women ttc with my condition, so I hope this might help someone else). Backstory - I've had vaginal pain since I became sexually active almost 10 years ago, to the point that sex is super painful, as are other things. If you'd rather skip over the somewhat wordy details, surgery might be able to correct my condition and end my pain.  

After no luck with any previous doctors, I visited the Arizona Vulva Clinic today. Once I got inside (and got over my slight embarrassment at the aptly named facility), I was very impressed. As other ladies have stated, going to a doctor who is an expert in this kind of pain makes a huge difference.

He did a quick exam, which verified my diagnosis of vestibulodynia, and then went over the three primary causes and treatment options. It's likely I have primary vestibulodynia (i.e. it wasn't caused by anything and is something I've always had), and for that, he said that the best option is a vestibulodectomy. It'd be an outpatient procedure, and I'd go under general anesthesia while they would remove a 3mm section of the back of my vaginal opening (to cut out the vestibular nerves), and then stitch part of the hymen over that part to cover and protect that area. With cases like mine, there is a 95% success rate!  

It'd be 3 weeks of more intense recovery and 6 weeks to theoretically no pain. I'd need to see a pelvic floor therapist afterwards to correct the pelvic floor disfunction that this condition causes. 

After almost a decade of pain and no answers, having a doctor confident in "fixing" me is pretty incredible. I'm a bit nervous at having part of my lady bits cut out, but the success rate is hard to argue with. The only time I'd be able to have the surgery would be in a couple of weeks, so this all might be happening soon. This would also obviously put TTC on hold for a couple of months, which is hard since we're only two from that 1 year mark, but I think it would be worth it. 

Any good thoughts anyone can share as I head towards having this surgery would be wonderful! The idea of having sex with my husband that doesn't cause extreme pain seems like a fantasy, but maybe this surgery will make it happen :)

(And thanks to those of you who made it through this monster of a post!) 

TTC #1 since August 2012 |  BFP August 17th, 2013  |    EDD April 25th, 2014
Living with Vestibulodynia (Chronic pelvic pain)


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Re: Vaginal Pain (Vestibulodynia) Update

  • I'm glad you've found a solution! Sending good thoughts your way! 
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    TTC Since July 2012
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  • I have no feedback on the procedure itself. But I'm glad you've found a Dr and seem to have a plan together. GL!

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  • GL.  I hope the surgery provides the relief that you have been looking for!

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    TTC #1 since August 2011

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    September 2012: Start IF testing

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    October 2012-May 2014: 4 failed IUIs, 3 failed IVFs, and 1 failed FETw/donor embryos

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  • You must be so relieved to have a solution. Good luck and a speedy recovery!

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  • It's good to hear you are going to get the treatment you need. I have vulvodynia related to my interstitial cystitis, and when I'm in a flare, sex hurts like hell (which sucks, because I love gettin' it on). I couldn't imagine having it all the time. This could be a whole new chapter for you. Good luck!
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  • Oh good news for you yay! Glad you have a plan to get some relief if what you've been dealing with
  • Great news. Good luck with the surgery and I hope it gives you some relief!



    Me: 32 DH: 31.
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    June 2013: Femara 2.5 mg, Gonal F Injects 37.5 IU, Menopur, trigger + IUI = BFN

    July 2013: Femara 2.5 mg, Gonal F Injects 75 IU, Menopur, trigger + IUI = BFP!!!!

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  • Calin oh my gosh!!!!  I'm so excited and happy for you!!!!!  I know how it feels to FINALLY get a diagnosis and have and end in sight, only I can't imagine how you must feel after ten YEARS!  I had issues with flareups for about 5 years before having a flareup that just never went away this past October.  That's when I really took action because I was in so much pain I couldn't stand for extended periods of time.  I can't believe you dealt with this for ten years; I give you mad props!!!  I am having surgery on Friday and I CAN'T WAIT for this to just be over.  Please let us know when your surgery is--we can comiserate!!!  Big congratulations!!!!!
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    TTC #1 8/2012~Chronic Pelvic Pain Condition began 10/2012~Told I was crazy by many doctors until a good specialist DXed a labral tear and bone impingement in left hip 4/2013~Surgery on left hip: 5/31/13  SUCCESS!!!  Pain flares to continue indefinitely (but mostly gone).

    Resumed TTC 6/2013~Chronic stomach pain and distension: 8/2013~TTA 1/2014 Until Resolved ~7/2014: Trip to the Mayo Clinic--SUCCESS!!  Finally on the road to getting better.

    Resumed TTC 7/2014!  Third time's the charm....8/2014 Visited the RE~DX: MFI/low morph~Straight to IVF with ICSI! 9/2014~Transferred 1 perfect beautiful 6AA blast with 10 to freeze!!!~10/8/2014: BFP!!!!  EDD: 6/17/15 STICK LITTLE BEAN!!! IT'S A BOY!!!!! 

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  • I'm so happy for you! Hopefully you can find comfort in having a plan of action. Good luck!
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    TTC #1 since Oct. 2012 | BFP Feb. 21, 2014!
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  • HisLovfHisLovf member
    Glad you're getting answers. GL!
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  • Wow.  That sounds like no fun at all but I'm happy you found some answers that may cure your pain!  Keep us updated on the surgery and recovery!
                  
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                                                                DS #1 born 05/25/2012   
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  • mmb248mmb248 member
    So glad you have a plan of attack! I hope everything goes smoothly from here on.
    imageimage
    Me: 33     DH: 38
    TTC since August 2011
    DX:  PCOS and subseptate uterus
    August 2013:  Clomid + Trigger + IUI TI = BFN
    September 2013:  Clomid + Trigger + TI = BFN
    October 2013:  Clomid + Trigger + IUI canceled
    November 2013:  NTNP
    April 2013:  Femara + Trigger + IUI = ???
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  • So happy you found a solution and a doctor who seems to know exactly what the issue is! Good vibes to you!
    Married-April 14, 2012
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  • Glad you got to hear some good news!

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  • Oh gosh, honey. Wow! I'm so glad that you found this doctor! I can't imagine the emotions flooding through you right now. Sending lots of positive thoughts and prayers your way! <3

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  • I hope this works and you'll be back to "business" soon.
  • I had this surgery the year after I got married and it changed my life. I wouldn't call sex enjoyable but it is no longer something I dread and there is almost no pain from most positions. DH is much happier of course and I enjoy making him happy and being intimate. I did have sex before the surgery but it felt like a file rubbing my vag and I was gritting my teeth and sometimes had to stop. Best of luck to you!
    Lilypie - (7gcp)

    Lilypie - (S3If)

  • I can't imagine how the last 10 months TTC has been with this kind of pain. So glad you have found a doctor who knows how to help you and that you have a plan in place.
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  • CalinAZCalinAZ member

    Thank you so much everyone for all the well wishes! I really, really appreciate it. 

     imagemythaldo:It's good to hear you are going to get the treatment you need. I have vulvodynia related to my interstitial cystitis, and when I'm in a flare, sex hurts like hell (which sucks, because I love gettin' it on). I couldn't imagine having it all the time. This could be a whole new chapter for you. Good luck!

    Sorry you also deal with vag pain. Glad it's only flares for you, and not constant, but that still must really suck. Hope it improves for you! Thanks for the luck :)

      

    TTC #1 since August 2012 |  BFP August 17th, 2013  |    EDD April 25th, 2014
    Living with Vestibulodynia (Chronic pelvic pain)


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  • CalinAZCalinAZ member

    imagecatmagick:
    Calin oh my gosh!!!!  I'm so excited and happy for you!!!!!  I know how it feels to FINALLY get a diagnosis and have and end in sight, only I can't imagine how you must feel after ten YEARS!  I had issues with flareups for about 5 years before having a flareup that just never went away this past October.  That's when I really took action because I was in so much pain I couldn't stand for extended periods of time.  I can't believe you dealt with this for ten years; I give you mad props!!!  I am having surgery on Friday and I CAN'T WAIT for this to just be over.  Please let us know when your surgery is--we can comiserate!!!  Big congratulations!!!!!

    Thanks, Cat! I'm am so excited for you and your surgery as well. Sending many, many good vibes  your way! I should know tomorrow when my surgery will be (and I'm really, really hoping I can schedule if for when I'd like). Can't wait to hear how yours goes! 

    TTC #1 since August 2012 |  BFP August 17th, 2013  |    EDD April 25th, 2014
    Living with Vestibulodynia (Chronic pelvic pain)


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  • CalinAZCalinAZ member

    imageblondie10m:
    I had this surgery the year after I got married and it changed my life. I wouldn't call sex enjoyable but it is no longer something I dread and there is almost no pain from most positions. DH is much happier of course and I enjoy making him happy and being intimate. I did have sex before the surgery but it felt like a file rubbing my vag and I was gritting my teeth and sometimes had to stop. Best of luck to you!

    Thanks so much for sharing your experience! I would love if you wouldn't mind PMing and giving me some more details about how the surgery (and recovery) went for you - but I'm super encouraged to hear that you'd describe it as "life changing." Your prior sex experience sounds like my current one, so hopefully I'll have equally good results :)

    TTC #1 since August 2012 |  BFP August 17th, 2013  |    EDD April 25th, 2014
    Living with Vestibulodynia (Chronic pelvic pain)


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  • good luck with everything!
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  • Sure, I'd be happy to pm. Hopefully I can figure it out, I've never done it before. I should be on tomorrow!
    Lilypie - (7gcp)

    Lilypie - (S3If)

  • That's awesome!  Glad you found a solution and have a plan in place. Smile

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  • I'm so glad to hear that you're getting some answers and that the doctor feels confident that this can be resolved! I'm sorry that you're going to have to put TTC on hold, but I hope that this will get you back on track and you'll be feeling better soon!
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  • Glad you found an answer! Best of luck!!

     

  • Wow, that sounds awful!  I'm happy there's a plan going forward (with such a high rate of success too!).  Good luck with the surgery, sending T&Ps your way!
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  • CalinAZCalinAZ member

    imageblondie10m:
    Sure, I'd be happy to pm. Hopefully I can figure it out, I've never done it before. I should be on tomorrow!

    Thanks! To PM, just click the little "contact" button at the bottom and PMing is an option :). I'll be at work, but I'll check when I get home!

    And thanks, everyone else, for the continued support :) 

    TTC #1 since August 2012 |  BFP August 17th, 2013  |    EDD April 25th, 2014
    Living with Vestibulodynia (Chronic pelvic pain)


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