What is chronic vulvar pain?

Patient's question:

I suffered from vaginitis and urethritis with vestibular pain last August. After treatment, the inflammation has subsided. All tests are normal and there are no signs of infection, but the pain in the vulva has not improved yet. I have seen over ten doctors, but none can identify the problem. I would like to ask experts what might be the cause of this pain?

Doctor's answer:

Is vulvar pain related to menstruation? Does it hurt after sexual activity? I have already treated bacterial vaginosis, but the pain continues. A double-check gynecological examination should be performed, checking for nodules on the posterior vaginal wall. A color Doppler ultrasound should also be conducted to determine if the uterus is enlarged and if there are any small tumors. If so, it could be endometriosis. There are nodules and masses on the posterior vaginal wall, causing pain during sexual activity, as well as a sense of heaviness and pulling. It is best to visit a gynecologist for an examination. It should be caused by poor personal hygiene.

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