Vaginismus & Vulvodynia - I'm in Melbourne - Please help me thanks.

Hi, how is everyone going?

I'm just wondering if anyone can help me please? I'm in Melbourne. I've seen a few Gynos who don't care and docs who don't know a thing and then pelvic floor physios and a dermatologist who deals with vulvodynia.

I'm 28 and have been having widespread pain throughout my back and stomach whenever anything penetrates me down below. This has been the case for as long as I can remember. Obviously, the bigger it is, the worse it is. Any sort of movement of the object penetrating produces a rubbing/burning feeling and makes it worse. It is all tight down there and hard to get into. For this reason, I haven't had sex many times. I have been told to use a dilator to stretch the area. I have been doing so on and off for the past few years - but not often enough. The last 1 month, I've been trying to use it every day to try and stretch the area and massage the sore spots and tight bands.

The dermatologist inspected my skin down there and said it appears normal. Whenever the entrance is touch - closer towards the front part, I get a sharp pinching feeling though. The sex psychologist tried to tell me it is in my head but suggested I see the dermo, who advised me to take Endep tablets or even try Endep cream down there.

I also suffer from some urinary incontinence and IBS.

I'm a bit worried about the side effects of taking Endep - she said it will make me drowsy which I don't want. Plus I know it has other side effects too. Has anyone tried the Endep cream?

Are there any other treatment options?

I'd greatly appreciate your help thanks. I'm in Melbourne and it is getting me down. I feel like I'm going around in circles.

When you say urinary incontinence what type do you have? Is it an overwhelming urge to go and not making it in time or a leaking when coughing or sneezing etc? I've got the same kinds of problems with my pelvic floor but due to another condition can't stretch it out yet.

Urinary incontinence in that I leak and can't always make it.

So urge incontinence then, I had the same problem when I first started trying not to clench my pelvic floor all the time, it's still tight and not yet ready for stretching but if I concentrate on not clenching it I don't get the urge incontinence anymore so it will go away as you loosen the muscles off.

Yeah but sometimes I'm crouching down doing stuff and I don't get the urge to urinate because I'm not thinking about it, but I can't straighten up to walk to the toilet because the pressure on my bladder or the change in pressure appears to cause me to do it in my pants.


Are there any other alternatives to anti-depressant pills to treat vulvodynia please? Has anyone experienced any side effects to the pills - and if so, what were they please?

Thanks.