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Part of our chronic pelvic pain guide · Browse every question we answer

VULVAR PAIN

Vestibulodynia vs vulvodynia: what is the difference?

Both cause chronic vulvar pain, but they affect different areas. Here is how to tell them apart, what might trigger them, and how daily support may fit into your routine.

The short answer

Vulvodynia is an umbrella term for chronic vulvar pain that has no single clear cause. Vestibulodynia is a specific type of vulvodynia that affects the vestibule — the small area at the entrance to the vagina.

If your pain is mainly triggered by touch or pressure at the vaginal opening, vestibulodynia is more likely. If the pain is spread across the vulva with no obvious trigger, vulvodynia is the broader term your doctor may use.

LOCATION

Where does the pain sit?

Vulvodynia can affect any part of the vulva — the labia, clitoral hood, perineum or the whole area. The pain may be constant or come and go.

Vestibulodynia is localised to the vestibule. This is the ring of tissue around the vaginal opening. It often feels fine at rest but flares with touch, insertion or certain activities.

TRIGGERS

What sets the pain off?

Vulvodynia sometimes has no clear trigger. It can feel like burning, stinging, rawness or aching across the vulva.

Vestibulodynia is usually provoked. Common triggers include tampon use, cycling, tight clothing, sex, or even sitting for long periods. The pain tends to start with pressure on the vestibule.

MANAGEMENT

What may help?

There is no one-size-fits-all treatment. Many women build a routine that includes:

  • Specialist support: A gynaecologist or vulval pain clinic can rule out infections, skin conditions and nerve issues.
  • Pelvic floor physiotherapy: Tight pelvic floor muscles often contribute to vulvar pain. A physiotherapist can teach relaxation and release techniques.
  • Gentle skincare: Avoid fragranced washes, fabric softeners and tight synthetic underwear.
  • Daily local support: Some women use a CBD pessary as part of their evening routine to help soothe pelvic tension. It is not a cure, but it can be a useful add-on alongside medical care.
WHEN TO SEE A DOCTOR

Get a proper diagnosis

Vulvar pain is common but it is not something you have to put up with. See your GP or a vulval specialist if you have persistent burning, stinging or pain during sex or tampon use. They can check for infections, skin conditions, hormonal changes and nerve-related causes.

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Amorae Intimate is a wellness CBD product. It is not a licensed medicine and is not intended to diagnose, treat, cure or prevent any medical condition. If you experience severe or persistent pelvic pain, or you have a diagnosed condition such as endometriosis, please speak to a healthcare professional. Do not use if pregnant or breastfeeding. For adults aged 18 and over, resident in the United Kingdom.

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