Actually I've just seen a few of you are suffering the same thing so I'll tell my story in case it may help anyone else have a lightbulb moment!
After the birth of dd1 my newly sewn up bits were shut in the bed by the midwife (you know where the bottom of the bed seperates (don't ask lol!)) but I ended up with massive haematoma and another surgery. Sex really hurt the first time we tried and eventually they performed a Fenton procedure to remove some unsupported skin- didn't help with pain but looked less of a car crash! . Then I had another DD and the pain got worse- another Fenton procedure followed.
Pain was still bad and got progressively worse so tampons and jeans aggravated it - it would swell up and just feel like it was cut tbh, then random itchy sensations joined the party with no medical reason. At first I think my gynae thought there was now no medical reason it must be in my head but she was still supportive. Eventually she managed to get approval to inject Botox into my perennium to see if it would help. It did - 80% for 8 weeks, I had this done another 2 times over 1 year.
My gynae then referred me to pain clinic and they gave me neuromodulation sessions- they were great but results temporary- i did consider buying a machine for home - it scrambles the nerve so it doesn't send the pain signal to your brain- painless and quick too.
Then I read about pudendal nerve damage online and my pain consultant agreed to inject the nerve. They do this under sedation but you are awake whilst they locate the nerve in theatre with an electrical current. The results were amazing, I had this done every 6 months (3 times in total) and my last one hasn't needed topping up- either my brain isn't receiving the pain signal now or the injections gave it a chance to repair itself. Also I should add My periods made the pain worse so somewhere during this 7 years I had ablation and sterilisation. At some point I was also on lyrica for 6 months and they made me crazy- I put my foot down and refused any other medication for the problem and instead pushed for less general diagnosis and physical treatment!
When sex hurts your brain puts a barrier up and that did take a while to go even after the treatment but I have been so lucky to have had great consultants (and medical insurance) but the nhs do offer all of these things- persistence is key.
Good luck ladies, you're not alone! X