Vestibulitis Vulvar: What is it? Symptoms, Diagnosis, Causes and Treatment

It is a condition that causes redness and pain in the vestibule. It is an inflammation of this skin and the mucous secretory glands found in the skin.

The secretory mucous glands are called minor vestibular glands. Vestibulitis can include the entire area around the opening of the vagina but is most commonly seen at the bottom.

Vulvar vestibulitis occurs in women of all ages. It can occur in women who are sexually active and also in women who have never been sexually active. Many women with this problem have suffered physically and emotionally for months or years; for a long time, many doctors have tried many unsuccessful treatments in search of relief.

What are the signs and symptoms of vulvar vestibulitis?

Intense pain under pressure (for example: riding a bicycle, exercising, tight clothing, sitting), etc. The entrance of the vagina shows signs of burning, stinging, irritation, or pressure sensation inside the vestibular area; this is usually due to the use of tampons or intercourse. In addition, vestibular reddening and the need to urinate frequently or suddenly occur.

How is it diagnosed?

Your doctor or health care provider will examine the vulva and vestibule to identify common skin changes. The pain is usually felt if the hall area is touched with a cotton-tipped applicator. A sample of your vaginal discharge is collected, and tests are done to rule out the infection.

What are the causes of vulvar vestibulitis?

The exact cause is unknown, but many studies are being done to determine the cause of this disease.

The following factors have been associated with vestibulitis:


  • HPV (Human Papilloma Virus)
  • Chronic yeast infections
  • Chronic bacterial infections
  • Regular pH changes (acid-base balance in the vagina)
  • The everyday use of chemicals/irritants is detergents, soaps, spermicides, or lubricants.

Which is the treatment?

The treatment can include any of the following:

Following the guidelines of skincare in the area of ​​the vulva, steroid ointments should be applied as a thin layer in the areas of discomfort and helps reduce redness, irritation, and burning. Caution: Use only as prescribed by your doctor. Excessive use can result in thinning of the skin that will make the problem worse rather than help.

Trichloroacetic acid (TCA) can be used in some cases as determined by the severity of the symptoms. TCA is a chemical used to destroy small areas of irritated skin, allowing the development of new healthy skin in its place.

Interferon injections are used to increase the immune system’s response to infection. The surgery or laser is used to remove the affected skin areas. This method is not recommended very often since it can cause secondary sequels.

With any of these recommendations, if you doubt some will improve the symptoms, however, do not forget that the doctor’s visit will help you define the treatment that best suits you.