Hildegard was given by her family to the church at about eight, enclosed with the anchoress Jutta at the monastery of Disibodenberg, and elected to lead the women's community when Jutta died. She had seen what she called the reflection of the living Light since early childhood, and had told almost nobody.
In 1141 she reports being commanded to write down what she saw, and refusing, and falling ill, and recovering only when she began. That sequence is a convention of the genre and it is also what she says happened. The result is Scivias, know the ways, twenty six visions with her own interpretations attached, composed over ten years. She was careful about authorisation: she wrote to Bernard of Clairvaux for an opinion, the matter reached Pope Eugenius III at the synod of Trier, and he read from the book publicly and told her to continue.
That approval is what made everything else possible. A woman writing theology in the twelfth century needed a warrant, and she had the best one available, granted in public by a pope. She used it for the next forty years, and her surviving correspondence runs to some four hundred letters, addressed to abbots, bishops, an emperor and a pope, in a tone that is respectful, entirely unintimidated, and frequently furious.