For me I believe now it was bladder-related, because the longer I was on my medications, those sorts of things were the first to go away. I'd also have a feeling like I'd been kicked in the crotch - and that's exactly how I explained it to my doctor, and then it started to feel like, ok the only way to explain this is - I thought it felt like how a man would feel with an erection that wouldn't go away. It was a full-pressure sort of feeling, that was incredibly uncomfortable and painful all at the same time in my vulvar/vaginal area. My doc thought it was "engorgement" and asked me to keep an eye on it to see if things were in fact swelling at all...but before we could really start delving into it, it started to go away, and in fact did... So, that's what makes me think it was bladder-related...
I would give my doc a call and see what they think about it and any ideas etc. I do know that when I was home a cold pack on the perineum REALLY helped me out, it soothed things quite a bit!!!!

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