When pain occurs after pressure is applied to the vestibule of women’s genitals, which is the tissue that’s between the inner labia and surrounds the opening of the vagina and the urethra. The pain can occur with intercourse, fingering, tampon insertion, sitting for a long time, or wearing tight pants. PVD can be primary or secondary. Primary means it’s happened since the woman’s very first attempt at intercourse. Secondary means it has developed after a woman has gone for a significant amount of time having had pain-free intercourse. See Vulvodynia.