Vestibulodynia Munich: Specialised treatment at MVZ Dr. Geisenhofer

Perhaps you are familiar with this: burning pain during sexual intercourse that you can no longer bear. Or a constant itching in the genital area that just won't go away. You may no longer be able to wear tight clothing or cycling has become impossible due to pain in the vagina.

Such complaints in the genital area are more common than you think - and above all: you are not alone.

The most important thing: In our MVZ you can talk openly about your complaints without feeling uncomfortable.

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Why you should come to us with pain in the genital area

Sound experience in the treatment of chronic intimate pain - we know these complaints from everyday practice.

Customised therapy concepts - tailored to your personal situation, whether hormonal, post-pill or breastfeeding.

Discreet and empathetic care - you can talk openly about your complaints without feeling uncomfortable.

Your team of specialists for intimate pain in Munich

Special focus of our treatment

Treatment for young women

Pain during sexual intercourse is a burden on your partnership and your self-confidence. We accompany you from the first consultation to diagnosis and successful treatment - discreetly and sensitively.

Treatment after hormonal changes

Intimate pain occurs more frequently after taking hormonal contraceptives, during breastfeeding or after the menopause. Our diagnostics take these hormonal aspects into account and the treatment is individually tailored to your situation.

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Precise diagnostics as the basis for successful treatment

An accurate diagnosis is crucial for successful treatment. We use various examination methods in our gynaecological clinic:

Detailed anamnesis interview to record your medical history and symptoms
Careful gynaecological examination to precisely localise the pain
Q-tip test to determine the pain-sensitive areas
Hormonal diagnostics for suspected hormonal causes
Exclusion of infections through laboratory tests

We carry out all examinations in peace and quiet. We explain exactly what will happen beforehand and proceed with caution.

Personalised vestibulodynia therapy for those affected

Conservative therapy - often the first choice for vestibulodynia and vulvodynia

In many cases, we can help women with vestibulodynia through conservative measures. Conservative treatment includes

Drug treatment of vestibulodynia: Targeted medication and local treatments relieve pain, burning and inflammation in the vaginal entrance area. Depending on the form of vestibulodynia, we use various active ingredients that are applied directly to the affected areas of the vulva. This therapy shows good results in many patients with vulvodynia.

Pelvic floor physiotherapy for vestibulodynia: Targeted physiotherapy to relax tense pelvic floor muscles. This treatment is often very successful, particularly in cases of vestibulodynia with pelvic floor tension. We are happy to refer our patients to practices that specialise in this.

Hormonal treatment for hormonally induced vestibulodynia: Local oestrogen therapy can significantly improve the symptoms of vestibulodynia in the case of hormonally induced mucosal changes and low oestrogen levels.

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Frequently asked questions about vestibulodynia and vulvodynia

What is vestibulodynia?

Vestibulodynia is a form of vulvodynia in which chronic pain occurs at the entrance to the vagina (vestibule). The vestibule - the area around the entrance to the vagina - is hypersensitive to touch or pressure. The pain associated with vestibulodynia often has no recognisable external cause such as infection, but is absolutely real and treatable.

This vulvar pain disorder often occurs in young women, but can also occur after hormonal changes due to the pill, during breastfeeding or in old age. The good news is that vestibulodynia can be treated with the right therapies.

What are the typical symptoms of vestibulodynia?

Many patients with vestibulodynia report the following complaints:

Burning and stinging at the entrance to the vagina: A persistent burning sensation in the area of the vestibule is the most common symptom of vestibulodynia. This burning sensation is intensified by touching the vulva.
Pain during sexual intercourse: Intimate contact becomes unbearably painful with vestibulodynia. This is not only a burden for the person affected, but also for the partner.
Problems in everyday life: wearing tight trousers becomes a pain, sitting for long periods causes discomfort with vestibulodynia, and even cycling or inserting tampons can cause severe pain.
Itching with no recognisable cause: Unlike infections, vulvodynia often causes persistent itching in the genital area that does not improve with normal treatments.

Many women with vestibulodynia also have problems in their relationship or psychological stress due to the constant pain. The earlier the diagnosis of vestibulodynia begins, the better the chances of successful treatment.

What are the causes of vestibulodynia?

The exact causes of vestibulodynia are not fully understood. However, research shows that it is usually a complex interplay of various factors:

Previous infections: Recurrent fungal infections, bacterial vaginosis or urinary tract infections can leave a hypersensitivity in the vulva area.
Hormonal influences in vestibulodynia: A low oestrogen level due to hormonal contraceptives (the pill), breastfeeding or the menopause makes the mucous membrane at the entrance to the vagina thinner and more sensitive.
Nervous system changes: Increased nerve endings in the vestibule (hyperinnervation) make the tissue more sensitive to pain in vestibulodynia.
Pelvic floor tension: A constantly tense or overactive pelvic floor muscle can cause or worsen the pain of vestibulodynia.
Psychological factors: Stress, anxiety and psychological strain can influence pain management in vulvodynia.

The problem is that these factors often reinforce each other in vestibulodynia. You should therefore have these complaints clarified at our gynaecological clinic in Munich.

How can vestibulodynia be treated?

Yes, vestibulodynia is treatable. With a personalised treatment plan, most patients with vestibulodynia can achieve a significant improvement or even complete freedom from pain. However, the treatment of vulvodynia requires patience and often a combination of different therapeutic approaches - medication, physiotherapy, hormonal therapy and psychological support.

How long does the treatment of vestibulodynia take?

The duration of vestibulodynia treatment varies greatly from individual to individual. Some patients with vulvodynia feel an improvement in pain after just a few weeks, while for others the treatment takes several months to years. Chronic pain in the genital area takes time to heal. Patience and perseverance are important in the treatment of vestibulodynia.

What role do hormonal contraceptives play in vestibulodynia?

Hormonal contraceptives such as the pill can lead to lower oestrogen levels in the vulva area in some women. This makes the mucous membrane at the entrance to the vagina thinner and more sensitive - a possible cause of vestibulodynia. In our diagnostics, we examine this connection and, if necessary, adjust the contraceptive method to improve the symptoms of vestibulodynia.

What can I do myself for vestibulodynia?

Practical tips for everyday life with vestibulodynia help many patients:

Clothing for vulvodynia: Loose, breathable cotton clothing is important. Avoid trousers that are too tight and put pressure on the vulva.
Hygiene in the intimate area: Use mild, fragrance-free products. Aggressive soaps or intimate sprays irritate the sensitive skin with vestibulodynia. Excessive hygiene can aggravate the symptoms.
Sitting with pain: Soft cushions can alleviate the discomfort of vestibulodynia when sitting.
Tampons for vulvodynia: Many women with vestibulodynia tolerate pads better than tampons as they cause less pressure at the entrance to the vagina.
Cycling: Avoid cycling with vestibulodynia or use special soft saddles.

When should I see a doctor for vestibulodynia?

Seek help for vestibulodynia at our women's clinic in Munich if you suffer from the following complaints:

Persistent pain during sexual intercourse
Burning or stinging at the entrance to the vagina
Itching in the genital area that does not go away
Problems wearing normal clothing
Restrictions in daily life due to pain in the genital area
Psychological stress caused by the symptoms of vestibulodynia

The earlier the treatment of vestibulodynia begins, the better the chances of recovery.

Contact the MVZ Dr Geisenhofer in Munich

Get in touch with our MVZ in Munich - by phone or email. We will arrange an appointment for a detailed consultation to discuss your complaints with vestibulodynia and plan the appropriate diagnostics.

The earlier you seek treatment for vestibulodynia, the better the results of the therapy will usually be. You don't have to take chronic pain in the genital area for granted - at our women's clinic in Munich there are effective ways to improve your quality of life despite vulvodynia.