Vulvodynia is chronic pain or discomfort of the vulva. The vulva includes the:
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The cause of vulvodynia is not known. Some possibilities include:
Vulvodynia is more common in women who are younger. Other factors that may increase the chance of vulvodynia include:
Symptoms may include:
Your doctor will ask about your symptoms and medical history. A physical exam will be done. It may include a pelvic exam. The affected area may need to be examined closely. This can be done using a colposcope to magnify the area.
Testing may include:
Talk with your doctor about the best treatment plan for you. Options include:
Therapy can help you strengthen and relax your pelvic muscles. This will ease muscle spasms. You may be referred to a doctor who specializes in pelvic floor issues.
Suggested treatments for vulvodynia include:
There are no current guidelines to prevent vulvodynia.
The American Congress of Obstetricians and Gynecologists
National Vulvodynia Association
Canadian Women's Health Network
Society of Obstetricians and Gynaecologists of Canada
ACOG Practice Bulletin No. 93: Diagnosis and management of vulvar skin disorders. Obstet Gynecol. 2008;111:5):1243-1253. Reaffirmed 2013.
What is vulvodynia? National Vulvodynia Association website. Available at:http://www.nva.org/what-is-vulvodynia. Accessed June 26, 2013.
Vulvodynia. American Academy of Family Physicians Family Doctor website. Available at: http://familydoctor.org/familydoctor/en/diseases-conditions/vulvodynia.html. Updated August 2010. Accessed June 26, 2013.
Vulvodynia. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated September 25, 2013. Accessed June 26, 2013.
Vulvodynia. National Institute of Child Health and Human Development website. Available at: http://www.nichd.nih.gov/health/topics/vulvodynia/Pages/default.aspx. Updated April 3, 2013. Accessed June 26, 2013.
4/7/2014 DynaMed's Systematic Literature Surveillance. http://www.ebscohost.com/dynamed: Reed BD, Legocki LJ, Plegue MA, Sen A, Haefner HK, Harlow SD. Factors associated with vulvodynia incidence. Obstet Gynecol. 2014;123(2.1):225-231.
Last reviewed June 2015 by Andrea Chisholm, MD Last Updated: 4/7/2014