Vulvodynia Overview Philadelphia PA

1. Vulvodynia is chronic pain or discomfort of the vulva (the area surrounding the vaginal opening) that lasts for three months or longer in the absence of other skin or gynecological disorders.

2. Women who suffer with vulvodynia report burning, stinging, irritation and rawness in the area. For some, this pain affects the whole vulva, for others it is localized to one area. Pain may be constant or episodic, often when triggered by tampon insertion, sexual activity or exercise, especially bicycling.

3. One study found that roughly three out of five women consulted three or more doctors in seeking an accurate diagnosis.

4. It is estimated that up to 18 percent of women—roughly 14 million—will suffer with chronic vulvar pain at some point in their lives.

5. There is no known cause of vulvodynia. However, we do know it is not caused by an active infection, including sexually transmitted diseases; skin disorders; cancer; or neurologic or psychological disorders.

6. Diagnosis often includes a cotton swab test in which the doctor places pressure on different parts of the vulva area to locate the pain and its relative intensity.

7. As with other chronic pain conditions, the unrelenting nature of vulvodynia, its negative impact on a woman's quality of life and ability to perform daily activities, and the challenges encountered in its diagnosis and treatment, may lead to depression, anxiety, fatigue and low self-image, especially related to a woman's sexuality.

8. The goal of treatment is to manage pain, restore normal activities, improve quality of life and prevent recurrence of symptoms.

9. Treatment may include a combination of advice on vulvar tissue care, oral and/or topical medications, nerve blocks, physical therapy, biofeedback, dietary modifications, counseling and, in some cases, surgery. Many therapies recommended to promote general health may also be recommended with traditional medical approaches for people in chronic pain. These therapies include acupuncture, hypnosis, massage therapy, relaxation techniques, biofeedback and cognitive behavioral therapy.

10. The aim of ongoing research is to determine the causes of vulvodynia and to find more effective ways to identify and treat chronic vulvar pain.

For the rest of this article, questions to ask your health care professional, information on diagnosis, treatment, prevention and more, click here.

Author: Editorial Staff of the National Women's Health Resource Center