This paper continues an exploration into vulvodynia (unexplained vulval pain lasting three months or longer) carried out over the last decade. It focuses on pain and the ‘ambiguous between’, using vulvodynia as a specific example of an unbearable state of body/mind tension and pressure in a space of obscurity and doubt. Anecdote, theory and speculation intertwine in an illustration of the possibility of creative response at the junction of that which is unmentionable and that which must be articulated. The paper demonstrates the possibility of a choice of attitude toward, and relationship with, suffering being enacted. It also acknowledges and celebrates the impossibility of a complete and final understanding of the ambiguous between.