What we treat

Conditions too often overlooked

Clear explanations of the conditions we specialise in: what they are, how they feel, and how we treat them.

01

Vulvodynia

Persistent pain, burning or rawness at the vulva lasting three months or more, without an obvious infection or skin condition to explain it.

A genuine pain condition involving sensitised nerves, not something you're imagining.

What it can feel like
  • Burning, stinging or rawness
  • Pain with touch or pressure
  • Discomfort sitting or wearing jeans

02

Vaginismus

Involuntary tightening of the pelvic floor muscles when penetration is attempted, whether with tampons, examinations or sex.

The muscles guard automatically to protect you, which is why effort and willpower alone don't release them.

What it can feel like
  • Penetration feels blocked or impossible
  • Burning or tearing sensation
  • Anticipatory fear and tensing

03

Endometriosis

A chronic whole-body inflammatory condition where tissue similar to the womb lining grows outside the uterus, causing pain, inflammation and sometimes adhesions.

Pain often extends well beyond periods and can persist even after surgery.

What it can feel like
  • Severe period pain
  • Deep pain during or after sex
  • Fatigue, bowel and bladder symptoms

04

Provoked vestibulodynia

A subtype of vulvodynia where pain is triggered specifically by pressure or touch at the vestibule (the entrance to the vagina).

The area typically looks completely normal on examination.

What it can feel like
  • Sharp pain on contact only
  • Pain with tampons or examinations
  • Normal-looking tissue

05

Recurrent UTIs

Repeated urinary tract infections, or ongoing bladder pain and urgency that continues even when tests come back clear.

Repeated antibiotic courses can disrupt the vulvar microbiome, making the cycle harder to break.

What it can feel like
  • Frequent urgency and burning
  • Negative tests despite symptoms
  • Repeated antibiotic courses

06

Pudendal neuralgia

Irritation, compression or damage of the pudendal nerve, the main nerve supplying the vulva, perineum and anus.

Typically causes burning, shooting or electric-shock pain, often worse when sitting.

What it can feel like
  • Burning pain that worsens with sitting
  • Shooting or electric-shock sensations
  • Numbness or bladder urgency

07

Pelvic girdle pain

Pain across the pubic bone, groin, lower back or sacroiliac joints, caused by how the pelvic joints load and move rather than by damage to them.

Common in and after pregnancy, but not limited to it.

What it can feel like
  • Pain with walking, stairs or turning over in bed
  • Clicking or grinding at the pubic bone
  • Groin, buttock or low back ache

08

Adenomyosis

A condition where tissue similar to the womb lining grows into the muscular wall of the uterus, making it thicker, heavier and often tender.

Causes heavy, painful periods and cramping that can persist between cycles.

What it can feel like
  • Heavy, painful periods
  • Dragging pelvic pressure or bloating
  • Deep pain during sex

09

Fibroids

Non-cancerous growths that develop in or around the uterus. They vary widely in size and number, many cause no symptoms, but others create significant pelvic pressure, heavy periods, or pain during sex.

What it can feel like
  • Heavy or prolonged periods
  • Pelvic pressure or bloating
  • Pain during sex or lower back ache

10

Lichen sclerosus

A chronic inflammatory skin condition affecting the vulva, causing thin, pale, fragile skin that can itch, split or scar over time.

It is not an infection and it is not contagious, but it does need ongoing specialist care to protect tissue health.

What it can feel like
  • Intense itching, often worse at night
  • Pale, shiny or thickened skin
  • Splitting, tearing or pain with sex

11

Interstitial cystitis / bladder pain syndrome

Persistent bladder pain, pressure and urgency lasting six weeks or more, with no infection found on testing.

The bladder lining and the nerves supplying it have become sensitised, so normal filling is felt as pain.

What it can feel like
  • Bladder pressure or pain that eases after urinating
  • Frequency and urgency day and night
  • Flares with certain foods, drinks or stress

Symptoms

No diagnosis yet?  Let's start with how it feels

You don't need a diagnosis to be seen here. If one of these describes your experience, that's enough to begin.

Painful sex

Pain before, during or after sex, at the entrance, deeper inside, or both.

It can be muscular, hormonal, inflammatory, neurological, and very often several at once.

Possible conditions
  • Vaginismus
  • Vulvodynia or vestibulodynia
  • Endometriosis or adenomyosis
  • Hormonal change or dryness

Vulvar pain

Pain anywhere across the vulva: burning, soreness, stinging or aching, whether constant or triggered by touch.

The skin often looks completely normal, which is why this symptom is so frequently dismissed.

Possible conditions
  • Vulvodynia
  • Provoked vestibulodynia
  • Lichen sclerosus or skin conditions
  • Recurrent thrush or infection

Vaginal pain

Pain felt inside the vagina: tightness, aching, cramping or a tearing sensation with tampons, examinations or penetration.

Possible conditions
  • Vaginismus or pelvic floor overactivity
  • Hormonal change and dryness
  • Infection or inflammation
  • Endometriosis

Bladder pain

Burning, pressure or urgency in the bladder, often with the feeling of an infection when tests come back clear.

Repeated antibiotic courses can leave the bladder and vulvar microbiome more sensitive, not less.

Possible conditions
  • Recurrent or chronic UTI
  • Interstitial cystitis / bladder pain syndrome
  • Pelvic floor overactivity
  • Endometriosis

Burning pain

A burning, stinging or raw sensation at the vulva, vagina or urethra, sometimes constant and sometimes triggered by touch, sitting or clothing.

Burning is typically a nerve-driven symptom: the nerves have become sensitised and are over-reporting pain.

Possible conditions
  • Vulvodynia
  • Pudendal neuralgia
  • Hormonal change
  • Post-infective nerve sensitisation

Unexplained pelvic pain

Pelvic pain with no name attached to it yet. Scans and swabs come back normal, appointments end in a shrug, and you are left wondering whether anyone believes you.

A missing diagnosis does not mean a missing cause; it usually means nobody has looked with the right lens.

Possible conditions
  • Endometriosis or adenomyosis
  • Pelvic floor dysfunction
  • Nerve sensitisation
  • Pelvic girdle pain

Where to start

Ready when you are

Whichever condition brought you here, care begins the same way: a free 15-minute consultation to work out the right pathway for you.

Psychosexual therapy

1-to-1 specialist therapy for the emotional and physical realities of pelvic pain.

Book now

Gynaecological webinars

Specialist education on pelvic pain from a gynaecologist.

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Support groups

Facilitated online circles with women who understand what you're living with.

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Self-guided practice

Daily tools and symptom tracking in the Bloume app, between appointments.

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Start your free consultation.

No referral, no waiting list, no being told it's in your head.