The opening of the vagina, known as the vulvar vestibule, can many times be the source of sexual pain, particularly pain upon penetration. This can lead to what some refer to as provoked vestibulodynia orvulvar vestibulitis. The etiology can be related to hormone deficiencies from menopause or hormonal contraceptive, pelvic floor hypertonicity or dysfunction, neuronal proliferation, congenital, infectious reasons, noninfectious or allergic reasons, vulvar dermatosis to name a few. Dr. Rahman will work closely using your history, physical exam and vulvoscopic examination to determine the source of your pain and create a comprehensive treatment plan that will work for you!