Can Vulvodynia Go Away

Can Vulvodynia Go Away




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Can Vulvodynia Go Away


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Medically Reviewed by Trina Pagano, MD on September 09, 2020
Vulvodynia i s a chronic pain condition of the vulva (outer female genitals). It usually lasts more than 3 months and there’s no known cause. Even though it’s the leading cause of painful sex among women who haven’t gone through menopause, it’s hard to know how widespread vulvodynia is. Many women find it hard to discuss the problem with their doctor. And once they do, it’s easy for doctors to diagnose vulvodynia as something else. Researchers are working hard to uncover the causes and to find better ways to treat it.
Vulvodynia affects the vulva, your external female genital organs. This includes the labia, clitoris, and vaginal opening. There are two main types:
Generalized vulvodynia is pain in different areas of the vulva at different times. Vulvar pain may be constant or happen every once in a while. Touch or pressure may or may not cause iit. But it may make the pain worse.
Localized vulvodynia is pain in one area of the vulva. Often a burning sensation, this type of vulvar pain usually results from touch or pressure, like sex or prolonged sitting.
Doctors don’t know the cause of most forms of vulvodynia. And there’s no proof that infections, such as sexually transmitted diseases (STDs), lead to vulvodynia.
Researchers are trying to find the causes. They may include:
Abnormal response in vulvar cells to an infection or trauma
Genetic factors that make the vulva respond poorly to chronic inflammation
Hypersensitivity to yeast infections
Allergies or irritation to chemicals or other substances
Women who have vulvodynia may also have another type of pain syndrome. This means there may be a link between vulvodynia and pain conditions like:
An estimated 200,000 to 6 million women
Multiple ethnicities. It was once thought to mainly affect white females, but it’s also found in African American and Hispanic women 
Possible risk factors for vulvodynia include:
Post-traumatic stress disorder (PTSD)
Symptoms of vulvodynia usually begin suddenly and can last anywhere from months to years.
The most common symptoms of vulvodynia include:
You may feel symptoms of vulvodynia:
All the time or just once in a while
During activities such as exercise , sex, or walking
While bicycling, inserting tampons, or even sitting
In one specific area or throughout your entire vulva
A burning pain is the single most common vulvodynia symptom. Some women describe it as a knife-like pain or like someone poured acid on their skin .
Most of the time your vulva will look normal, but it might appear inflamed or swollen.
To diagnose vulvodynia, your doctor may:
Ask about your medical, sexual and surgical history. This helps them understand exactly where and how much pain (and other symptoms) you’re having.
Give you a pelvic exam. They’ll check your external genitals and vagina for things that might be causing your symptoms. They might take a sample of cells from your vagina to test for an infection.
Do a cotton swab test. For this test the doctor uses a cotton swab to check for exact areas of pain in your vulvar region.
Do a biopsy. The doctor will take a small piece of tissue from a particular area to examine it further. They’ll only do this if they find a sore or something else unusual.
Vulvodynia symptoms aren’t life-threatening, but they can still have a huge impact on your life. Vulvar pain can take a toll on your normal activities. It can make it hard to have sex , exercise , socialize, or work. Severe symptoms or trouble having sex can also affect your relationship. This, in turn, could harm your self-image and make you feel depressed. A National Institutes of Health study showed that most women with vulvodynia feel ''out of control,'' unable to have sex and unable to fully enjoy life. If this is true for you, don’t hesitate to seek the help and support you need.
Many women find ways to control their pain. Unfortunately, many doctors aren’t familiar with vulvodynia. If you have this condition, look for a doctor who has experience treating it. Also, remember that chronic pain can affect your emotions. Think about getting therapy or joining a support group.
It may help to stay away from things that could irritate your vulva. These might include certain soaps, medications , or douches. You can:
Use a dermatologist-approved detergent 
Don’t use fabric softener on your panties.
Use unscented toilet paper that’s soft and white.
Use 100% white cotton menstrual pads, and tampons.
Don’t get shampoo on the vulvar area.
Avoid perfumed creams or soaps, pads or tampons, and contraceptive creams or spermicides.
Stay out of hot tubs or pools with lots of chlorine.
Rinse your vulva with cool water after you pee or have sex.
Avoid foods that make your urine more irritating. This may include greens, beans, berries, chocolate, and nuts.
Wear loose-fitting pants and skirts
Remove wet swimsuits or damp gym clothes as soon as you can.
After bathing, gently pat your vulva dry and apply a vegetable or plant-based oil or preservative-free emollient to protect it.
Some activities put pressure on your vulva. To ease it you can:
Use a water-soluble lubricant during sex.
Avoid activities that put direct pressure on your vulva. This includes bicycling and horseback riding.
These steps may help relieve vulvar pain:
Soak in lukewarm or cool sitz baths.
After sex, apply ice or a frozen gel pack wrapped inside a hand towel to the area.
There’s no one treatment for vulvodynia that works for all women. You may need to try a combination of things for the best results. Your doctor may suggest. 
You might get a pill, a cream or ointment you rub onto the skin, or a shot. Your doctor may suggest:
Local anesthetics, such as lidocaine
Serotonin-norepinephrine reuptake inhibitors
Neurostimulation and spinal infusion pump
The doctor may also suggest treatments like:
Physical therapy , which involves exercise to strengthen pelvic muscles and ease muscle spasms
Biofeedback , which helps you learn to relax vaginal muscles to lessen pain
Transcutaneous electrical nerve stimulation (TENS). This treatment uses a low volt electrical current to ease pain. 
If you have a type of localized vulvodynia called provoked vestibulodynia, your doctor may suggest surgery to remove painful tissue, especially if other options haven’t helped.
If your doctor doesn’t have experience with surgery for provoked vestibulodynia, consider seeing a gynecologist with a special interest in this condition. Ask your doctor for a referral.
SOURCES: 
National Vulvodynia Association: ''Fact Sheet;'' ''What Is Vulvodynia?;'' ''What Causes Vulvodynia?;'' ''Self-Help Tips for Vulvar Skin Care;'' and ''Treatment.'' 
The American College of Obstetricians and Gynecologists: ''Vulvodynia;' ACOG Committee Opinion No 673: “Persistent Vulvar Pain.
"American Academy of Family Physicians: ''What Is Vulvodynia?''
Office of Research on Women’s Health: ''Vulvodynia.''
UpToDate: "Clinical manifestations and diagnosis of vulvodynia (vulvar pain of unknown cause),” “Treatment of vulvodynia."
Cleveland Clinic: “Transcutaneous Electrical Nerve Stimulation (TENS),” “Vulvodynia.”
Fort Memorial Hospital, Fort Health Care: “Vulvodynia & Vaginismus.”
© 2005 - 2022 WebMD LLC. All rights reserved.
WebMD does not provide medical advice, diagnosis or treatment.


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Vulvodynia is a chronic pain condition of the vulva defined by pain that lasts more than three months. This pain doesn't have a clear cause and negatively impacts the woman's life. Treatment for vulvodynia takes time and can include a combination of topical medicines, oral medicines and physical therapy.


National Vulvodynia Association. What is Vulvodynia? (https://www.nva.org/what-is-vulvodynia/) Accessed 8/28/2018.
National Institutes of Health. Vulvodynia. (https://www.nichd.nih.gov/health/topics/vulvodynia) Accessed 8/28/2018.
American Academy of Family Physicians. Vulvodynia. (https://www.aafp.org/afp/1999/0315/p1561.html) Accessed 8/28/2018.
The American College of Obstetricians and Gynecologists. Vulvodynia. (https://www.acog.org/Patients/FAQs/Vulvodynia) Accessed 8/28/2018.
The American College of Obstetricians and Gynecologists. Colposcopy. (https://www.acog.org/Patients/FAQs/Colposcopy) Accessed 8/28/2018.
RadiologyInfo.org. Nerve Blocks. (https://www.radiologyinfo.org/en/info.cfm?pg=nerveblock) Accessed 8/28/2018.
Bornstein J, Goldstein A, Stockdale C. 2015 ISSVD, ISSWSH, and IPPS Consensus Terminology and Classification of Persistent Vulvar Pain and Vulvodynia. American Society for Colposcopy and Cervical Pathology. Journal of Lower Genital Tract Disease. April 2016;20(2):126-130. Accessed 8/28/2018.


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Vulvodynia is chronic pain in the vulva, the area on the outside of a woman’s genitals . It is usually described as a sensation of burning, stinging, itching or rawness. Vulvodynia is defined as pain that lasts more than three months and doesn’t have a clear identifiable cause, such as an infection or a skin disorder. This pain may cause sexual dysfunction and it can negatively impact a woman’s quality of life.

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Knowledge about the cause of vulvodynia is limited. There are many suspected causes, including inflammation, injury to nerves in the area (neuropathic problems), hormonal factors, musculoskeletal problems and genetic (inherited) factors. Often, women with vulvodynia also suffer from other common pain syndromes. These pain syndromes can include:
Several risk factors for the development of vulvodynia can include:
Vulvodynia is diagnosed by ruling out other conditions that might be causing the pain. Your doctor will ask about your medical and surgical history, where it hurts, when it hurts and how badly it hurts. An examination of the vulva area might include touching areas around the vulva with a cotton swab to evaluate the location and intensity of the pain. A pelvic exam will be completed to assess your pelvic floor muscles and help to identify any other areas of pain.
Vulvodynia treatment takes time. Finding the treatment or combination of treatments that will bring you relief from pain is a process of trial and error, and treatments that work might not work immediately.
Treatments you and your doctor might try include:
Vulvodynia is not a life-threatening condition, but it can be a stressful and life-altering one in many ways.
Research has linked vulvodynia to depression and anxiety.
Some women hesitate to discuss this problem. If you have persistent pain in the area of your vulva, you should tell your gynecologist or primary care physician. If it gets worse, you should call again.
Last reviewed by a Cleveland Clinic medical professional on 07/03/2018.

Cleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission. We do not endorse non-Cleveland Clinic products or services.
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Chronic, unexplained pain in the area around the opening of the vagina.
Vulvodynia can be so uncomfortable that some activities can feel unbearable, such as sitting for long periods of time or having sex.
Symptoms include burning and rawness in the genital area. Pain may be constant or occasional and can last for months or even years, then vanish as suddenly as it started.
Treatment includes avoiding irritants such as tight-fitting clothing, perfumes and dyes. Abrasive activities, such as cycling, should also be avoided. Other treatments include oral and topical medication and biofeedback therapy
Chronic, unexplained pain in the area around the opening of the vagina.
Vulvodynia can be so uncomfortable that some activities can feel unbearable, such as sitting for long periods of time or having sex.
Symptoms include burning and rawness in the genital area. Pain may be constant or occasional and can last for months or even years, then vanish as suddenly as it started.
Treatment includes avoiding irritants such as tight-fitting clothing, perfumes and dyes. Abrasive activities, such as cycling, should also be avoided. Other treatments include oral and topical medication and biofeedback therapy.
Treatment can help, but this condition can't be cured
Lab tests or imaging rarely required
Medium-term: resolves within months
Symptoms include burning and rawness in the genital area. Pain may be constant or occasional and can last for months or even years, then vanish as suddenly as it started.
Pain areas: in the vagina or pelvis
Pain circumstances: can occur during sexual intercourse
Groin: vaginal dryness, vaginal itching, or vulval inflammation
Also common: sexual dysfunction or uncomfortable tingling and burning
Treatment consists of therapy and local anaesthetics
Treatment includes avoiding irritants such as tight-fitting clothing, perfumes and dyes. Abrasive activities, such as cycling, should also be avoided. Other treatments include oral and topical medication and biofeedback therapy.

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