Vulvar Vestibulitis

Volvodynia is a condition that involves chronic pain and discomfort of the vulva and vaginal area. Vulvar vestibulitis is a form of vulvodynia in which pain occurs in the vestibule or vulva, the area around the opening of the vagina.This condition can produce a burning sensation that may be persistent or arise mainly when pressure is placed on the vestibule, such as during sexual activity.

Symptoms of Vulvar Vestibulitis

Symptoms of vulvar vestibulitis can be constant or intermittent and may include:

  • Burning
  • Stinging
  • Irritation
  • Rawness

Causes of Vulvar Vestibulitis

Although one specific cause of vulvar vestibulitis is unknown, the following factors may contribute to the condition:

  • Infection
  • Hormones
  • Genetic factors
  • Immune disorders
  • Nerve injury

Treatment for Vulvar Vestibulitis

Conservative methods that may be recommended to treat vulvar vestibulitis include:

  • Wearing cotton underwear
  • Using only mild soap in the vaginal area
  • Avoiding irritants such as perfumes, dyes, soaps or douches
  • Applying cool compresses to the affected area

In addition, there are a number of methods available to effectively treat vulvar vestibulitis. Treatment may include:

  • Estrogen hormones
  • Topical anesthetics
  • Prescription medications that disrupt nerve impulses
  • Physical therapy focused on the pelvic muscles

In severe cases that do not respond to conservative treatments, vestibulectomy surgery may be recommended. This procedure involves removing some of the tissue of the vestibule to relieve symptoms.

Vulvar vestibulitis is an uncomfortable disorder that cause much distress to patients. Patients are advised to consult with their doctors so that their specific condition can be treated and symptoms can be relieved.

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