Intercourse, even touching, is out of the question. She has given me a preliminary diagnosis of Lichen Sclerosus et Atrophicus. Sure enough, after viewing pictures and doing a self exam, I must say that this looks like what I have. She has referred me to a GYN for confirmation of the diagnosis and treatment. Like most autoimmune conditions this one has no cure.
Treatment is with potent steroid creams or testosterone.
Left untreated the skin of vulvovaginal area can fuse together. It looks like mine has already started to do that. Pain can last for years. Naturally this puts a damper on my sex life and is creating challenges in my relationship, despite a very supportive partner. For me the big message is to be more diligent with my practices.