Vulvodynia is chronic pain or discomfort of the vulva. The vulva includes the: Labia majora and labia minoraClitorisVaginal opening
The cause of vulvodynia
is not known. Some possibilities include: Injury or irritation of vulvar nervesInflammed tissueAbnormal response to infection or trauma
Vulvodynia is more common in women who are younger. Other factors that may increase the chance of vulvodynia include: History of vulvodyniaChronic pain or disorders associated with chronic painSleep disturbances
Some mental health disorders, such as
post-traumatic stress disorder
yeast infectionsFrequent use of antibioticsIrritation to the genitals by soaps or detergentsGenital rashesPrevious treatment or surgery to the external genitalsPelvic nerve irritation or muscle spasms
Symptoms may include: Pain, which may come and goBurningStingingIrritationRawness
Your doctor will ask about your symptoms and medical history. A physical exam will be done. It may include a pelvic exam. The affected area may need to be examined closely. This can be done using a colposcope to magnify the area.
Testing may include: Tests to check for bacteria and/or yeastBiopsy
Talk with your doctor about the best treatment plan for you. Options include:
Topical medications that are applied to the skin, such as corticosteroids, estrogen, or anestheticsAntidepressantsAnticonvulsantsPrescription pain relievers
Therapy can help you strengthen and relax your pelvic muscles. This will ease muscle spasms. You may be referred to a doctor who specializes in pelvic floor issues.