I've had it since I was pregnant with ds, who is almost 3. It mostly started in my 3rd trimester. I thought it would go away after the birth, but instead it was so much worse. It's a heavy, dull, ache in my vulva. Right after the birth it hurt all the time, but after a couple weeks it was only when I was standing for more than a minute or two, especially if I was carrying/wearing ds. When I was pregnant it was just when I was standing for long periods of time. It gradually got a little better as the years went by after ds was born, but never really went away. After he turned 2, it was mostly just bad the first day or two of my period, and the day or two around ovulation. Sometimes it would be mild during my luteal phase. I am pregnant again, 20 weeks now, and it's getting worse. I can't stand for more than a minute or two before I start feeling the first twinge. It starts to get painful after about 10. The pain is never intense, but it really interferes with cooking/dishes/waiting in lines. I feel like I've been sitting down for 3 years. I'm really scared it's going to be bad again after the birth, it was such a slow recovery, and not even a complete one at that! I had a homebirth, I thought labor was relatively easy (yeah it was hard, but I thought it would be worse) pushing was frustrating for me. It took 2 1/2 hours of hard pushing. He was in a good position, and only weighed 6lb9oz. I had a small tear that was stitched, and healed well. We're planning another homebirth, and I'm really hoping that the pushing phase is shorter. In hindsight, I think I could have waited to push with ds, I didn't have a strong urge when I started pushing last time.
Over time, I've found a few things that help. Switching from Dansko clogs to the flattest flats I could find seemed to help. Any position that stretches or allows me to more fully relax my pelvic floor will take the pain away momentarily; things like squatting, putting one leg up on a chair if I have to stand, laying down with legs spread really wide apart. A hot rice pack right on my crotch helps. As I've mentioned standing makes it worse, the longer I stand, the worse it gets. Also anything that adds pressure to the pelvic floor makes it worse, carrying heavy loads (like my toddler), or bearing down to have a bowel movement. It's also worse the day after I have sex. During sex everything is peachy, but I pay for it the next day. I didn't seem to have any prolapse issues after the birth, though I did see a Mayan Abdominal Massage therapist once right before I got pregnant this time. She said my uterus was sitting a touch low, and leaning over to the right. She moved it back in place for me, which felt awesome, but didn't seem to make a difference in the pain. It was pretty much gone for the first couple months of pregnancy, it was so nice! But now it's back, earlier and worse than it was last pregnancy. I'm seeing a pelvic floor physical therapist right now, it's been 3 or 4 weeks, and it doesn't really seem to be helping. I was expecting some internal exams with the therapist, but none so far. She did say that my pelvis is crooked in a couple of ways, and gave me exercises to correct that, and taught me how to tell when it's out of alignment. I do the exercises, it appears to me that it corrects the misalignment, but it doesn't seem to touch the pain. She also found some bands of tension in my inner thighs, that she massaged vigorously (yowch!) That did seem to change the sensation of the pain. It still came on just as readily, but it was more forward, like around my urethra instead of back around my vagina. I'm supposed to stretch my inner thighs a lot to keep the tension from coming back, but the stretches she gave me are now causing pain around my pubic bone (probably due to pregnancy/relaxin). I'll ask for alternative stretches at my next appointment.
Nobody can tell me what is causing the pain, or how to fix it. I can't even find anyone else that has experienced it. For some reason, I've grown really emotional about it (pregnancy hormones, maybe?). I'm just so tired of sitting down at social events while everyone else stands around and mingles, and burning dinner because I sat down to take a break while something was on the stove, and doing my dishes 10 minutes at a time because I can't stand there long enough to just get the job done. I wouldn't care if it was just during pregnancy, but my last birth just made it so much worse. How am I supposed to take care of a toddler if I can't carry my newborn around while I'm chasing after him?
Has anyone heard of this? Have any ideas? Commiseration? I'm just miserable about it.