His and Her Health

I am experiencing pain at the vestibule, I have read various articles about the association between IC and vulvar vestibulitis. Can one have IC without frequency and urgency? My levator ani muscle is in spasm and I am experiencing pain at the bottom portion of the vestibule with deeper vaginal pain and rectal pain as well. The pain seems worse when I sit too long. Does this sound like IC and what is the best testing to rule out IC

It sounds by your description that there is pelvic floor dysfunction associated with your current condition/symptoms. It does not sound like IC, but I cannot diagnose medical conditions and definitely not on email.

It is common for women to have both VVS and IC, but I would say that IC should have bladder symptoms either or frequency, urgency and pain (one or any of the combo). A urologist specializing in IC would do testing for you. This may include Cystoscopy w/hydrodistention or perhaps a potassium sensitivity test; some just use current questionnaires. First though they rule out other issues such as infections.

Again, from your description, it does not sound like IC though.