Vulvodynia is chronic pain or discomfort in the vulva (the external female genital area) that lasts for at least 3 months, with no clear cause (e.g., infection, injury, or skin disorder). It is a real and treatable condition that affects daily life, intimacy, and emotional well-being.
Common Symptoms
- Burning, stinging, or rawness in the vulva.
- Sharp, throbbing, or aching pain.
- Pain triggered by touch (e.g., tampons, tight clothing, or intercourse).
- Discomfort while sitting, exercising, or during daily activities.
Possible Causes
- Nerve hypersensitivity: Overactive nerves in the vulvar area.
- Pelvic floor dysfunction: Tight or spasming pelvic muscles.
- Hormonal changes: Low oestrogen (e.g., menopause).
- Genetic predisposition: Family history of chronic pain conditions.
- Past trauma: Surgery, childbirth, or recurrent infections.
Diagnosis
- Rule out other conditions: Tests for infections (yeast, BV), skin disorders (lichen sclerosus), or allergies.
- Physical exam: Gentle touch with a cotton swab to map pain areas (“Q-tip test”).
- Pelvic floor assessment: Check for muscle tightness or tenderness.
Treatment Options
Medical Treatments
- Topical therapies:
- Lidocaine gel (numbing cream) for temporary relief.
- Oestrogen cream (for hormonal-related pain).
- Oral medications:
- Antidepressants (e.g., amitriptyline) or anticonvulsants (e.g., gabapentin) to calm nerve pain.
- Pelvic floor physical therapy: Stretching and massage to relax tight muscles.
- Nerve blocks or Botox injections: For severe, localized pain.
Frequently Asked Questions
Q: Can vulvodynia be cured?
A: While there’s no cure, symptoms can often be managed effectively with a personalized plan.
Q: Does vulvodynia affect fertility?
A: No, but pain during sex may delay conception. Discuss options with your doctor.
Q: Is it linked to cancer?
A: No. Vulvodynia is a pain disorder, not a disease.
Q: Can I still have sex?
A: Yes, but communicate with your partner. Lubricants and gradual desensitization exercises may help.
Q: Is this “all in my head”?
A: No! Vulvodynia is a physical condition, though stress can worsen symptoms.
eGynaecologist Advice:
- Vulvodynia is not caused by poor hygiene, STIs, or cancer and, early treatment with gynaecologist improves quality of life.
You should seek urgent gynaecological consultation if you notice new bleeding, ulcers, or rash or if symptoms worsen.
