Chief Complaint: acute vaginal pain
Western Diagnosis: vulvar vestibulitis
Medical History: My patient has had the condition for 7 years. It first started as pain only on intercourse, then 2 years ago it became pain on arousal, and when she first came to see me there was constant pain. She is 28 years old, married, and a final year law student. The pain is predominantly on the right side of the vulva, it is a sharp pain that occurs with skin redness and inflammation, after the menses the pain will occur with itching. She is unable to have intercourse but the pain that is experienced constantly is a 6/10. The vaginismus only occurs on intercourse, but because the pain is so intense on arousal, it is not the immediate concern.