Hi.
I’m assuming you know a woman who has been diagnosed with Vulvodynia (also spelled Vulvadynia), a chronic discomfort or pain characterized by burning, stinging, irritation or rawness of the female crotch in cases in which there is no infection or skin disease of the vulva or vagina causing these symptoms. Burning sensations are the most common, but the type and severity of symptoms are highly individualized, and the pain may be constant or intermittent, localized or diffuse.
Symptoms aren’t necessarily caused by touch or pressure, e.g., penis-vagina sex (p-v), but these activities often exacerbate the symptoms.
Some women experience pain only in the vaginal opening, and only during or after touch or pressure is applied. Burning sensations are the most common symptom and may be experienced with any kind of penetrative activity or even bicycle riding or wearing tight pants.
The causes of are still unknown, mostly because of a lack of research. There is no evidence that Vulvodynia is caused by an active infection and it is not a sexually transmitted disease.
The current research is focused on delineating risk factors for developing Vulvodynia. Speculation on potential causes of the condition has centered around:
• an injury to, or irritation of, the vulvar nerves
• an abnormal response of different cells in the vulva to environmental factors (such as infection or trauma)
• genetic factors associated with susceptibility to chronic vestibular inflammation
• a localized hypersensitivity to candida (yeast)
• spasms of the muscles that support the pelvic organs
• unresolved feelings about sex (discomfort, past traumas, etc.), leading to somatic reaction
• consuming a high-acid diet,
• allergic reaction to birth control pills,
• allergic reaction to certain fabrics, lotions, soaps, etc.
There is currently no "cure" for Vulvodynia, and most treatments are directed toward alleviation of symptoms. It is important to keep in mind that the cause of Vulvodynia is unknown and each woman’s symptoms are unique; no single treatment works all the time or is appropriate for everyone. It takes time to find a treatment or combination of treatments that will decrease or alleviate pain.
Some of the current treatments available (not listed in order of efficacy) include:
• Discontinuation of all topical medications, soaps, douches, etc., that can worsen irritation
• Topical estrogen cream
• Diet modification (lowering the Ph of vaginal fluid by eliminating acidic substances such as caffeine, alcohol, vinegar, etc.). Many women have reported success with modifying their diet over a period of time.
As you can see, this is a very mysterious condition that takes patience and understanding. For support and ongoing news and information, I recommend the website of the National Vulvodynia Association: http://www.nva.org. Good luck to you and the woman in your life. Dr. J
Hello,
I have suffered with the symptoms of Vulvodynia, and have done many years of personal and professional research to try and stay pain free. You can view some of my research or contact me at http://www.symptomanswers.com.
Hi Laura,
My daughter has been suffering with vulvodynia since she has been 16 years old. It seems that none of her doctors know how to treat her and she is so tired of perscription medications. Can you please let me know what your website is? Anything will help at this point and she is willing to try anything. Thank you.
IdahoGal