I believe my vestibulitis occurred with the drying out of my vestibule area during menopause. I had some cracking of the skin and a general feeling of it being chapped in the vestibule area. This led to burning and itching and steriod creams and 7 doctors that just said it was part of menopause. By the time it was correctly diagnosed, my nerve endings in the 5,6, and 7 spot were charged up with pain. I have been doctoring successfully for three years with only one or two major flare ups.