Is vulvodynia a real medical condition?

Yes, vulvodynia is a recognized medical condition affecting an estimated 8-16% of women. It is not in your head, and effective treatments are available to manage the pain.

Can vulvodynia be cured?

While there is no single cure, many women find significant relief through a combination of treatments. A multidisciplinary approach involving medications, physical therapy, and counseling tends to be most effective.

Does vulvodynia affect fertility?

Vulvodynia does not directly affect fertility. However, the pain associated with intercourse can make conception difficult. Treatment of vulvodynia and fertility assistance options can help women who wish to become pregnant.

ReproductiveICD-10: N94.81Affects an estimated 8-16% of women at some point in their lives

Vulvodynia

Also known as: Vulvar pain, Vulvar vestibulitis

Vulvodynia is chronic pain or discomfort in the vulvar area lasting at least three months without an identifiable cause. It can be generalized or localized (vestibulodynia) and may be constant or triggered by touch or pressure. The condition affects quality of life and intimate relationships, but multiple treatment approaches can provide significant relief.

Symptoms

Burning, stinging, or rawness in the vulvar area

Throbbing or aching pain

Itching

Pain during sexual intercourse (dyspareunia)

Pain when sitting for prolonged periods

Pain triggered by tampon insertion or tight clothing

Causes

Exact cause unknown but may involve nerve injury or irritation
Abnormal response to infection or trauma
Genetic factors affecting susceptibility to inflammation
Hormonal factors
Pelvic floor muscle dysfunction

Risk Factors

History of recurrent yeast infections or vaginal infections
Chronic pain conditions such as fibromyalgia or IBS
Anxiety or depression
Pelvic floor muscle tension
Hormonal changes

Diagnosis

Detailed pain history and gynecological examination
Cotton swab test to map areas of tenderness
Ruling out infections, skin conditions, and other identifiable causes
Pelvic floor assessment

Treatment

Topical anesthetics such as lidocaine for pain relief
Topical estrogen or testosterone creams
Low-dose tricyclic antidepressants or anticonvulsants for nerve pain
Pelvic floor physical therapy
Cognitive behavioral therapy and sex therapy
Vestibulectomy surgery for refractory localized vulvodynia

Prevention

Wearing cotton underwear and avoiding irritating products
Using adequate lubrication during intercourse
Avoiding prolonged sitting on hard surfaces
Managing stress and co-occurring pain conditions

When to See a Doctor

Persistent vulvar pain lasting more than three months
Pain that interferes with sexual activity or daily life
Vulvar symptoms that do not respond to over-the-counter treatments
Emotional distress related to chronic vulvar pain

Frequently Asked Questions

Related Conditions

Vaginitis

Reproductive

Endometriosis

Reproductive

Fibromyalgia

Musculoskeletal

Interstitial Cystitis

Urological

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Medical Disclaimer: This content is for educational and informational purposes only. It is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider.

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