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.
