For a long time growing up I knew I wanted to have a family. And then sometime in college I wasn’t so sure. Then I got VVS. Now I really wasn’t sure. Then my VVS went away. Are you frickin kidding me? I had no idea.
I read this article on OBGYN.net:
Does pregnancy worsen vulvodynia either during pregnancy or after delivery? There are no studies on this subject. In an issue of the NVA News, Dr. Marinoff states that about 1/3 of his patients improve, 1/3 get worse and 1/3 stay about the same. The growing fetus definitely places more pressure on the pudendal nerve and thus may worsen vulvodynia of the pudendal neuralgia sub-type. There is also more pressure on the bladder and urethra, which may aggravate urinary symptoms. However, there is an increase in circulating steroid hormones during pregnancy, including estrogen and cortisol. This may cause some cases of inflammatory vestibulitis to improve. (34)
Dr. Marinoff notes that some women have their first onset of vulvodynia during or after a pregnancy. In that case, he believes that the vulvodynia is most likely to recur with subsequent pregnancies. (34)
The Delivery and Post-partum Period:
In some cases improvement is permanent; in others the woman returns to her previous level of pain and function within about 6 months after the delivery. Unfortunately, there is no good way to predict who will improve with pregnancy and who will not or who will become worse.
So really, if I get pregnant, I have pretty much a 50/50 shot of my VVS coming back. I wrestled with this for a long time, and still do to an extent. I had a period where I had absolutely decided that I would not get pregnant. If we wanted kids that badly we could adopt. But my husband is not that keen on adoption, and I have always really wanted to be pregnant and experience that part of the life cycle. Even when I didn’t want to have kids, I still wanted to be pregnant.
So after much deliberation, my husband and I have decided to start trying. We’ve talked about it as much as we can, but you can’t plan for something like that. We’re aware of the risks and will cross that bridge if it appears. (This is all hinging on the fact that we can actually get pregnant and are not infertile.) I guess for a long time I thought I should be “safe” about it. Do the easy thing. But I’ve done that all my life. Save for 2 years of painful sex, my life has been mundane. Some people join the peace corps, others get addicted, I am going to try and have a baby with the possible consequence of having a broken vagina.
I’ll keep you posted, for now there’s nothing.