Vulvodynia is pain of the vulva that lasts more than three months.
The vulva is made up of the:
- Labia majora and labia minora
- Vaginal opening
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The cause is not known. It may be due to:
- Injury or infection
- A problem with how the body responds to pain
Vulvodynia is more common in women who are 20-40 years of age.
Other factors that may raise your risk are:
- Mood or anxiety disorders, such as posttraumatic stress disorder
- Sleep problems
The main symptom is pain that lasts more than three months.
You may have:
- Pain with sex or inserting tampons
You will be asked about your symptoms and health history. A physical exam will be done. You may also have a pelvic exam. The area may need to be closely checked. This can be done using a colposcope to magnify the area.
Your bodily fluids and tissues may need to be tested. This can be done with:
- A swab of the vaginal area
Talk with your doctor about the best treatment plan for you. This may mean:
You may be given:
- Topical medicines that are put on the skin, such as corticosteroids, estrogen, or anesthetics
- Antiseizure medicine
Therapy can help strengthen and relax the pelvic muscles. This will ease muscle spasms. A doctor who specializes in pelvic floor issues may be needed.
The following steps can help ease pain:
- Wear 100% cotton underwear.
- Do not douche.
- Use only mild soaps for bathing. Pat the area dry after bathing.
- Use lubrication when having sex.
- Apply cold packs to the area.
- Rinse the area after urination. Pat it dry.
Suggested treatments for vulvodynia include:
- Nerve stimulation
The American Congress of Obstetricians and Gynecologists http://www.acog.org
National Vulvodynia Association http://www.nva.org
Canadian Women's Health Network http://www.cwhn.ca
Society of Obstetricians and Gynaecologists of Canada http://www.sogc.org
ACOG Practice Bulletin No. 93: Diagnosis and management of vulvar skin disorders. Obstet Gynecol. 2008;111:5):1243-1253. Reaffirmed 2013.
Vulvodynia. American Academy of Family Physicians Family Doctor website. Available at: http://familydoctor.org/familydoctor/en/diseases-conditions/vulvodynia.html. Updated April 1, 2014. Accessed July 26, 2018.
Vulvodynia. EBSCO DynaMed Plus website. Available at: https://www.dynamed.com/topics/dmp~AN~T128775/Vulvodynia . Updated September 18, 2018. Accessed July 26, 2018.
Vulvodynia. National Institute of Child Health and Human Development website. Available at: http://www.nichd.nih.gov/health/topics/vulvodynia/Pages/default.aspx. Updated January 31, 2017. Accessed July 26, 2018.
What is vulvodynia? National Vulvodynia Association website. Available at: http://www.nva.org/what-is-vulvodynia. Accessed July 26, 2018.
4/7/2014 EBSCO DynaMed Plus Systematic Literature Surveillance. https://www.dynamed.com/topics/dmp~AN~T128775/Vulvodynia : Reed BD, Legocki LJ, et al. Factors associated with vulvodynia incidence. Obstet Gynecol. 2014;123(2.1):225-231.
- Reviewer: EBSCO Medical Review Board Kathleen A. Barry, MD
- Review Date: 05/2018
- Update Date: 07/26/2018