Diagnosis & Treatment of Vulvodynia

Vulvodynia is a chronic pain or discomfort around the opening of your vagina (vulva)…

Vulvodynia is a pain in the vulva (the skin surrounding the entrance to the vagina). Its symptoms include a feeling of burning or irritation.

Diagnosis :  

Before the diagnosis of vulvodynia, your doctor will ask you some questions about your symptoms, medical history (  including other conditions for which you’re being treated ), sexual and surgical history. The doctor carefully examines your vulva, vagina and vaginal secretions to rule out an active infection or skin disorder.

Your doctor can also perform the :

  • Cotton swab test:  During the cotton swab test, Your doctor uses a moistened cotton swab to gently check for specific, localized areas of pain in your vulvar region. The doctor applies gentle pressure to various vulvar sites and you ask to rate the severity of the pain. If any areas of skin appear suspicious, your doctor may examine them with a magnifying instrument or take a biopsy of the area.
  • Pelvic exam: In this examination, your doctor visually examines your external genitals and vagina for signs of infection or other causes of your symptoms. In a pelvic exam, your doctor might take a sample of cells from your vagina to test for an infection, such as a yeast infection or bacterial vaginosis.

Treatment :

The treatment of this disease depends on its symptoms. There is no one treatment that works for every woman. For many, a combination of treatments works best. It may take time to find the right treatments, and also take time after starting a treatment before you notice relief.

The treatments are including :

General advice –
  1. Take a healthy and balanced diet
  2.  Reduce intake of caffeine.
  3. Stop smoking.
  4. Do exercise daily.
  5. Take herbal tea.
Medical advice –
  • Medications: Steroids, tricyclic antidepressants or anticonvulsants can help lessen chronic pain.
  • Physical therapy: This therapy involves exercise to strengthen pelvic muscles and lessen muscle spasms.
  • Biofeedback therapy: This therapy can help to reduce pain and also helps you to learn to relax vaginal muscles and control how your body responds to the symptoms.
  • Nerve blocks: It is beneficial for those women who have long-standing pain.
  • Surgery: In cases of localized vulvodynia, your doctor may suggest surgery to remove painful tissue, especially if other options have not brought relief.

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