what is the difference between this and vestibulitis

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Atrophy can happen to some women when there is a lack of systemic estrogen due to menopause. With Vestibulitis, there isn't necessarily a lack of estrogen -- but there can a dysfunction in the estrogen and testosterone receptors. You can have adequate levels of systemic hormones...but still need to apply the hormones topically so it will help the skin. Think of the receptors as a 'lock' and the hormones as the 'key' -- when used together the skin improves and for 'some' - symptoms will get better. Also with vulvar pain, there can a genetic predisposition, or it can be caused by tight pelvic floor muscles, whereas with atrophy, it is usually age related or induced through surgical menopause. However, not all vestibulitis patients respond to hormonal treatment. Unfortunately, it's an

individual thing. Probably not want you want to read.... but I hope it helps. Chelle