Vulvodynia : Causes-Symptoms-Diagnosis-Treatment


  What is Vulvodynia?

Vulvodynia is a chronic pain that affects the opening of your vagina. There is no known cause for this pain, and it lasts at least three months. The pain and discomfort associated with vulvodynia can make you so uncomfortable that you cannot sit for long periods of time. When periods or having sex become unthinkable, the condition can last for a few months to a few years.

What is Vulvodynia?

If you have vulvodynia, don't keep yourself from seeking help because you might not be able to see the signs or because you are embarrassed about talking about your symptoms. There are many treatment options available to make your discomfort less severe. And in some cases, your doctor might be able to determine the cause of your vulvar pain. So it is important to talk with them about what is going on.Get an exam.

  1. Female Reproductive System

  • Internal reproductive organs

  1. Ovaries

  2. Fallopian tubes

  3. Uterus

  4. Cervix

  5. Placenta

  • External reproductive organs

  1. Vulva

  2. Clitoris

  3. Vagina

  1. Vaginal fluids

Medical terms

  • Vulvodynia, simply put, is chronic female genital organ pain while not AN distinctive cause. The situation, constancy and severity of the pain vary among sufferers. Some girls expertise pain in barely one space of the female genitals, whereas others expertise pain in multiple areas. The foremost usually rumored symptom is burning, however women’s descriptions of the pain vary. One girl rumored her pain felt like “acid being poured on my skin,” whereas another delineated it as “constant knife-like pain.

  • The purpose of this document is to serve as a resource for women suffering from vulvodynia, a chronic pain condition involving the vulva. According to the International Society for the Study of Vulvovaginal Disease, vulvodynia is defined as vulvar discomfort, most often described as burning pain, occurring in the absence of relevant visible findings or relevant abnormal laboratory findings. Vulvodynia affects women of all ages and backgrounds and can have a profound effect on a woman's quality of life. There is no one cause of vulvodynia and no one cure, but there are treatments that can help manage the condition.

  • Vulvodynia is a chronic pain syndrome involving the vulva or external female genital region. The pain can be sharp, sharp and throbbing, or just a constant, dull ache. Often, the pain is made worse by touch, sexual activity, Tight clothing, or sitting for long periods of time. The pain can occur in just one area of the vulva or be felt all over the vulva.

What Is Localized Vulvodynia?

Most women have pain at only 1 vulval website. If the pain is within the vestibule, the tissue closes the duct gap, the identification is vestibulodynia (formerly referred to as vulvar vestibulitis syndrome (VVS)). (See diagram on right.)

The majority of girls with localized vulvodynia have angry Vestibulodynia (PVD), within which pain happens throughout or when pressure is applied to the vestibule, e.g., with:

  • sexual intercourse,

  • tampon insertion,

  • a gynecologic examination,

  • prolonged sitting, and/or

  • wearing fitted pants

A less common sort of localized vulvodynia, referred to as clitorodynia (pain within the clitoris), will be terribly painful.

PVD is additionally classified as primary or secondary.

Women with primary PVD have toughened proprioception pain since the primary try at canal penetration.

Women with secondary PVD have toughened unpainful gender before the event of vulval pain.

What Is Generalized Vulvodynia?


For women with generalized vulvodynia (GV), pain happens ad libitum and is comparatively constant, however there will be some periods of symptom relief.

Activities that apply pressure to the female genital organ, like prolonged sitting or gender, usually exacerbate symptoms.

Symptoms Vulvodynia

One of the main symptoms of vulvodynia is pain in your genital area, which can be described as:

  • Burning

  • Soreness

  • Stinging

  • Rawness

  • Painful intercourse (dyspareunia)

  • Throbbing

  • Itching

Your pain may be constant or it may only happen occasionally. It might occur only when the area that is causing the pain is touched (provoked). You might feel the pain throughout your entire vulvar area (generalized) or the pain might be localized to a certain area such as the opening of your vagina (vestibule).

Your vulva might look a bit swollen or inflamed. It's more common for your vulva to look normal.

This condition, vestibulodynia, causes pain only when pressure is applied to the area around the entrance to your vagina.

When to see a doctor

Vulvodynia is a common condition among women.

If you are having pain in the genital area, talk to your doctor. It's important to rule out more easily treatable causes of vulvar pain, such as yeast or bacterial infections. Herpes can be a sign of a future health problem, and precancerous skin conditions can also cause vulvar pain. The menopause is a condition that results from the end of menstruation, and can also be accompanied by medical problems such as diabetes.

It is important not to use over-the-counter treatments for yeast infections without first seeing your doctor. Once your doctor has examined your symptoms, he or she may recommend treatments or ways to help you manage your pain.

Causes Vulvodynia 

Doctors don't know what causes vulvodynia, but there are a few factors that may contribute to the condition including: -Genetics -Changes in the environment -Injury or trauma

  • If you experience nerve pain or irritation around your vulva, it is likely due to an injury or irritation to your nerves.

  • Past vaginal infections

  • Allergies or sensitive skin

  • Hormonal changes

  • Pelvic floor muscle spasms or weakness can cause problems with the bladder and bowel.

Complications Vulvodynia

Sexually transmitted infections (STIs) can be painful, frustrating, and keep you from wanting sex. For example, vaginismus can cause spasms in the muscles around your vagina. Other complications might include: -Fear of having sex, which can cause spasms in the muscles around your vagina (vaginismus). -Having problems with sex because of STIs, such as vaginitis, a common sexually transmitted infection that causes inflammation of the vaginal walls

  • Anxiety

  • Depression

  • Sleep disturbances

  • Sexual dysfunction

  • Altered body image

  • Relationship problems

  • Decreased quality of life

Vulvodynia band

Vulvodynia also called vulvar vestibulitis is a chronic pain syndrome in which it feels like there's something repeatedly poking the woman's genital region Pain can range from mild to severe and generally worsens with activities such as sitting down or having sex Sometimes pressure on the area makes the problem worse Although no one knows exactly what causes vulvodynia some things that aggravate it include: Sexually transmitted diseases (STDs) Sexual activity Touching and other forms of pressure on the vaginal area Women with this problem often feel better when they're not sexually active.

How do you make vulvodynia go away?

Vulvodynia is a chronic condition characterized by general discomfort or pain in the vulvar area and it affects approximately 10% of women The cause remains unknown but it can be triggered by any number of things from nerve irritation to hormonal fluctuations to allergies This means that there is no surefire treatment — only treatments designed to ease your symptoms.

Can vulvodynia be cured?

The first step in treating vulvodynia is to do away with unnecessary pain and discomfort caused by the illness Pain medications including antidepressants and anticonvulsants can help relieve this symptom Medications that suppress or desensitize pain may also be prescribed though they are only used as a last resort due to their addictive qualities.

What causes vulvodynia to flare up? Vulvodynia is a chronic condition that involves burning and pain around the opening of the vagina Because there's no clear cause doctors aren't sure why it happens They do know that certain things seem to trigger vulvodynia symptoms in some women such as: Using soap on your skin or genitals Shaving pubic hair Wearing tight clothes Frequent sexual activity Physical injury (like cutting yourself with a razor) Stress Pregnancy And although these are just some of the known triggers for vulvodynia you can minimize them by not constantly removing pubic hair or wearing.

How long does vulvodynia take to heal?

Vulvodynia does not improve on its own but treatment can help you feel better and manage your symptoms This may include: Lifestyle changes such as reducing stress getting regular exercise and taking brief warm baths; or Treatments such as creams vaginal estrogen therapy anti-inflammatory medications or antidepressants.

Where is vulvodynia pain located?

Vulvodynia is a condition that causes chronic pain in the vulvar area which includes the entrance to the vagina and the tissue surrounding it Symptoms of vulvodynia include burning stinging or soreness in this area that may be constant or intermittent Women who have experienced sexual abuse may also experience symptoms during intercourse.

options Vulvodynia is a condition that causes chronic pain in the area of the vulva which includes your outer genitalia Treatment options may include lifestyle changes medications and surgery to relieve this type of chronic pain.

Diagnosis Vulvodynia

Your doctor will ask you questions about your medical history, sexual activity, and any surgeries you have had. They will also want to understand the location and severity of your symptoms.

Your doctor might also perform a:

  • Pelvic exam. Your doctor examines your external genitals and vagina to see if you have an infection. If there is no visual evidence of infection, your doctor may take a sample of cells from your vagina to test for an infection such as a yeast infection or bacterial infection. Vaginosis is a condition in which the vagina becomes inflamed and filled with pus.

  • Cotton swab test.Your doctor will use a moistened cotton swab to check for specific localized areas of pain in your vulva region.

Treatment Vulvodynia

Treatments for vulvodynia focus on relieving symptoms. A single treatment won't work in every case, so it's important to try a variety of treatments. It can take some time to find the right combination of treatments and it may take awhile after starting treatment before you notice relief.

Treatment options include:

  • Medications.Some types of steroids, tricyclic antidepressants, or anticonvulsants can help lessen chronic pain. Antihistamines might reduce itching.

  • Biofeedback therapy.This therapy can help reduce pain by teaching you how to control your pelvic muscles and relax your body. This can help reduce the symptoms that you experience.

  • Local anesthetics.Medicines such as lidocaine ointment can provide temporary relief from symptoms. Your doctor might recommend applying lidocaine 30 minutes before sexual intercourse to reduce your discomfort. Using lidocaine ointment can cause your partner to feel numbness after sexual contact.

  • Nerve blocks.Women who have pain that does not respond to other treatments might benefit from local nerve block injections.

  • Pelvic floor therapy.Many women with vulvodynia have tension in the muscles that support the bladder and bowel in the pelvic area. Exercises to relieve this tension can help to relieve pain from vulvodynia.

  • Surgery.Some women who have vulvodynia or vestibulodynia surgery may experience relief from pain.

Lifestyle and home remedies

Some tips that might help you manage vulvodynia symptoms are as follows:

  • Try cold compresses or gel packs.Apply the ointment to your genital area to relieve pain and itching.

  • Soak in a sitz bath.Take a bath with Epsom salts or colloidal oatmeal once or twice a day. The water should be warm, not hot, and you should sit in it for about five to ten minutes.

  • Do not wear tight-fitting pantyhose and underwear made from nylon.restrictive clothing can increase your body temperature and moisture, which can cause irritation. Wearing white cotton underwear will help increase airflow and dryness. Try sleeping without underwear at night to see if that helps.

  • Avoid hot tubs and soaking in hot baths.Hot water can cause discomfort and itching.

  • Don't use deodorant tampons or pads.The deodorant can be uncomfortable. If pads are too irritating, try using 100% cotton pads.

  • Avoid activities that put pressure on your vagina.Activities like biking or horseback riding can be fun.

  • Wash gently.Don't scrub the area too harshly or wash it too often. Use just water to gently clean the vulva. After bathing, apply a barrier cream without preservatives.

  • Use lubricants.Before having sex, apply a lubricant. Don't use products that contain alcohol or any type of warming or cooling agent.

Alternative medicine

Stress can worsen vulvodynia, which is a condition that causes pain in the vagina. Vulvodynia is more likely in women who experience stress, though there is little evidence that alternative techniques work for everyone. Some women find relief from yoga meditation, massage, and other methods that reduce stress.

Coping and support

Talking to other women who have vulvodynia might be helpful because it can provide you with information and make you feel less alone. If you don't want to join a support group, your doctor might be able to recommend a counselor in your area who specializes in helping women cope with vulvodynia.

Couples therapy might help you and your partner cope with the effects of vulvodynia on your relationship.

Preparing for your appointment

You may see your primary care provider or be referred to a doctor who specializes in female reproductive health (gynecologist).

What you can do

Make a list of:

  • Your symptoms:Make sure to bring any items that may seem unrelated to the appointment, such as food, drinks, or toys, and to bring them when you arrive.

  • Your medical history,In addition to the treatments for which you're being treated, you should also take other conditions into account.

  • All the medications, vitamins, and other supplements you take go into your body together. including doses

  • Questions to ask your doctor

When you have questions about vulvodynia, you should ask your doctor including:

  • What could be causing my symptoms?

  • What tests do you recommend?

  • What are the possible treatments that might improve my symptoms?

  • Can this condition be cured or fixed?

  • How can I get relief from my discomfort?

  • What other medical conditions do I have? How can I manage them together?

  • Can I have some brochures or printed material? What websites do you think I should visit?

If you have any more questions, feel free to ask them.

What to expect from your doctor

Your doctor may ask you questions such as:

  • How severe is your pain and how long does it last?

  • How would you describe your pain-sharp, dull, or continuous?

  • Do you usually experience pain only when something specific happens, such as intercourse or physical activity?

  • Does your body hurt when you urinate or have a bowel movement?

  • Does your menstrual cycle affect the severity of your pain?

  • What makes your pain go away or increase?

  • Have you had pelvic surgery?

  • Can you get pregnant right now?

  • Do you have any urinary tract or vaginal infections?

General summary

  1. Vulvodynia is a broad term used to describe chronic vulvar pain that has no obvious cause. The pain may be felt as burning, stinging, irritation, or raw aching. It can be constant or come and go. Some women feel it only when the area is touched or when they sit for long periods of time.

  2. Vulvodynia is a pain disorder of the vulva which results in localized or generalized vulvar discomfort Vulvodynia has been reported to affect between 3% and 15% of women at some time in their lives Although affected women are often misdiagnosed as having yeast infections or sexually transmitted diseases vulvodynia is not caused by an infection or disease.

  3. Vulvodynia is a chronic pain syndrome in which the patient suffers from burning and stinging sensations of the vulvar area It may also affect other areas that are in close proximity to the vagina such as the urethra perineum or anus In some cases it can be extremely painful even when there is nothing touching the affected area It should not be confused with general vaginal discomfort or vague pelvic pain which usually disappear upon urinating.

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