What Is Pain In and Around the Vulva?

Naomi breaks down three conditions that get conflated constantly: vaginismus (the vaginal muscles involuntarily tightening against penetration — tampons, fingers, a partner, a toy), vulvodynia (persistent vulval pain that isn't always tied to penetration at all), and endometriosis (tissue growth that can cause painful sex, periods, and tampon use as it spreads). What to rule out first (STIs and UTIs, always worth checking before anything else), how a partner or relationship dynamic can factor in without it being anyone's "fault," and a section on the specific disconnect experienced by trans men who've kept their vulva.

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