Cruel pain in vaginal area
Hello, I am 29 years old, female, and unfortunately I have been suffering from cruel pain in the vaginal area since November 2025. It all started around the 18th week of my second pregnancy. I suddenly developed intense, stabbing pain in my vagina, and no doctor could really explain where it was coming from. At first, it was suspected that my cervix had shortened, so a pessary was inserted. The ring caused me so much pain that it had to be removed again after five days. Since then, I have had extreme pain, not only deep inside the vagina, but also in the area of the clitoris.
I somehow managed to get through the pregnancy and give birth to my daughter. That is also why I specifically chose to have a C-section in April 2026. I was told that the baby was probably pressing on a nerve and causing the problem. But that was not the case. It is now the end of June, and my pain is worse than ever. Shortly after giving birth, I was told that the right side of my pelvic floor was tense and that this was causing the pain. Since the birth, I have only had pain on the right side.
I started taking amitriptyline and am currently on 50 mg. I cannot take a higher dose because I am still exclusively breastfeeding my daughter. I am now on the verge of weaning so that I can start pregabalin, which is incredibly difficult for me because I love breastfeeding her. But I simply cannot cope with the severity of the pain anymore.
I started vaginal physiotherapy, but after about four weeks of treatment, the nerve pain suddenly came back. I have now paused the therapy for four weeks, and I have been in excruciating pain 24/7 every single day, either in the vagina itself or in the clitoris with radiating pain. It is definitely nerve pain. It burns, tingles, feels raw, and hurts unbelievably badly. It is not just a pure muscle pain like I had before.
No doctor has really been able to help me. I was only prescribed pregabalin. I am very scared and have become extremely hopeless. I have started psychotherapy to try to cope with all of this. I have two tiny kids and most of the time I only want to live because they need their mum and I‘m loving them so much. But I truly do not know what to do anymore. My pain is not position-dependent, meaning it may get a little worse when I sit, but when I lie down it does not go away either. That is why I do not know whether I might be dealing with some kind of nerve entrapment or not.
Has anyone here had similar experiences? Can anyone help me? I am very desperate.