Thank you for your post – I’m sorry we are just responding now! You are right, its sometimes very difficult to distinguish between vaginismus and vulvodynia. They are often caught up in the what came first “chicken and egg” scenario. However, it sounds like you have done your research and are on the right path. My best advice would be to find a pelvic pain specialist to examine you. A well trained clinician will be able to distinguish which condition is primary and which may happening as a result of the other. The treatment will be tailored accordingly, so its so important to have the right working diagnosis. Best of luck, and let us know if we can be of assistance here at Maze!