What is Vulvodynia

What is Vulvodynia


The vulvodynia is a dysfunction characterised by ache localized within the space of the vulva, which impacts 12-15% of girls of childbearing age.

The vulvodynia can stay undiagnosed or untreated for a while; it is because some ladies generally expertise discomfort in reporting this situation and this leads them to not focus on it with their GP or caregiver.
Then again, well being professionals might not have the ability to acknowledge the pathology or take into account the signs of a neuropsychic nature, referring the lady to the psychologist. 

The Vulvodynia is a situation of organic origin that may have a ‘ multifactorial origin and the analysis can solely be made by being attentive to what she refers to in the course of the go to.


The vulvodynia has signs of multifactorial origin and due to this fact might differ from girl to girl, however a typical symptom for all ladies in ache. 

Signs of Vulvodynia, along with ache could be vaginal burning and irritation of the vulva with consequent redness; ache happens extra intensely throughout and following sexual activity ( dyspareunia ) though generally it isn’t straight associated to it. 

Perceived ache could be:

  • Continual: persistent, unending;
  • Intermittent: disappears and reappears;
  • Spontaneous: there isn’t any particular trigger that generates it;
  • Provoked: it’s a particular situation that induces the painful sensation;
  • Generalized or Localized: impacts the complete genital space or a single particular level of the vulva;
  • Remoted: ache is the one perceived symptom;
  • Associated to different circumstances similar to within the case of recurrent Candida vaginitisIrritable Colon SyndromeEndometriosisFibromyalgia, Recurrent complications. One other trigger could be present in sexual problems (dyspareunia, lack of want, vaginal dryness, sexual violence, and many others …)
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As beforehand acknowledged, vulvar ache is the predominant symptom in Vulvodynia.
This dysfunction should all the time induce the skilled to hold out a extra in-depth evaluation of the state of affairs: organic points (native circumstances of the lady), psychological points (anxiousness, despair, numerous forms of misery) and psychosexual points (harassment, bodily and sexual abuse). 



To know if the illnesses described above could possibly be signs of Vulvodynia, there’s a transient self-assessment to be carried out comfortably at residence which clearly doesn’t substitute a medical opinion; the essential indication stays, that of contacting a specialist who can comply with the complete path from analysis to therapy. 

The take a look at consists of 6 questions to be answered sure/no: if out of six solutions at the least three are sure, it’s potential {that a} situation of Vulvodynia is current and due to this fact it’s essential to contact your physician or midwife. Listed below are the six questions :

  1. Have you ever been handled for repeated episodes of vaginitis and/or cystitis, however the problems didn’t fully resolve after the remedy, or did they reappear after a short while?
  2. Are your complaints current when the Vulva is touched (tight clothes, tampons, penetration throughout intercourse, and many others ..)?
  3. Is the ache usually close to the doorway to the vagina?
  4. Is vulvar discomfort nearly all the time current with no obvious causes that set off it?
  5. Do you will have an odd sensation (like a pinprick) whenever you contact the vulva or the doorway to the vagina?
  6. Have your issues been happening for greater than three months?
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Given the excessive multifactorial of the origin of the signs, it’s troublesome to search out a typical remedy for the therapy of Vulvodynia; multidisciplinary collaboration is required to resolve the ache causes. 

Personalised remedy, no matter it could be, may have the next goals:

  • optimize ache management: scale back ache as a lot as potential till it disappears; 
  • restore the features that the dysfunction has altered and improved the bodily and psychological well-being of the lady;
  • enhance the standard of life of girls.

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