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vulvar/vaginal diseaseWhat is vulvodynia?Vulvodynia is a condition which results in pain and tenderness throughout the vulvar area. It has no known cause. What is vulvar vestibulitis?Vestibulitis is a type of vulvodynia which causes redness and pain of the vestibule (ring-like portion at the opening of the vagina) extending from the labia minora inward. It may include all the area around the opening of the vagina, but most commonly is seen in the lower one-half. Vestibulitis involves the opening of mucous secreting glands (Bartholin's glands) and the surrounding skin. Vulvodynia and vulvar vestibuilitis occur in women of all ages. Neither is likely to be sexually transmitted and both conditions may occur in women who have delivered babies and those who have not. The ability to transmit this condition to babies, young children, and sexual partners is unknown, but probably uncommon. It is seen in all types of relationships (short-term, long-term, and monogamous.) Many women with this problem have suffered physically and emotionally for months or years, have seen a number of physicians, and have tried many unsuccessful treatments in search of relief. What are the signs and symptoms of vulvodynia?
How is it diagnosed?Your doctor or health care provider will examine the vulva and vestibule to identify the common skin changes. Pain is usually felt if the vestibule area is touched with a cotton-tipped applicator. A sample of your discharge may be checked to rule out infection. A biopsy or small sample of skin may be taken to make a definite diagnosis. The biopsy allows for a closer examination of the skin cells using a microscope. What is the cause?The exact cause is unknown, but many studies are being conducted. The following factors have been associated with vulvar vestibulitis:
What are the treatments?Treatment may include any of the following:
Helpful Treatment HintsA & D Ointment Lidocaine Gel may be prescribed as initial treatment. How it is used: Apply to the areas of discomfort.How it works: Numbs areas before intercourse. Caution: After applying, wait until area becomes less sensitive before intercourse. Burning may occur for a short time (5-10 minutes) after the gel is applied. Witch Hazel Pads (TUCS pads) How it is used: Apply to the areas of discomfort.How it works: Decreases burning and irritation after intercourse and urinating. Cleansing Bottle Pour plain luke-warm water over the vulva after urinating to remove urine from irritated area.June 2002
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26 South Main Street, PMB #162 . Concord, NH 03301 . Phone: 603 397-0103
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