It is only uncomfortable when first entering inside me. OB says everything seems fine just by her exam though finally asked is this where it hurts. YEA!!!! Women without J pouch have the same thinning of the skin in this area. I have so much inflammation/feeling with the cuffitus like one has said feels like so much pressure in that area. There is not much between the two areas so why I feel its the issue. There seems to be scar tissue on outside in between the two areas. Can anyone relate to what I am describing? Have you found anything to help instead of avoiding that way to have sex? The issue seems to be it stretches that skin that is irritated.