Vulvar Pain Evaluation & Treatment

Vulvar pain refers to pain experienced to the vulva, the female external genitalia and the entrance of the vagina.  Vulvar pain can be medically classified as either acute or chronic and can occur when an area of the vulva is touched.  In general, symptoms of vulvar pain include irritation or tenderness and may be caused by douching, certain soaps, vaginal sprays, infections, scars, or cysts.  Acute vulvar pain typically resolves itself once the underlying cause is properly diagnosed and treated.  However, chronic vulvar pain may be longer and/or reoccurring in nature.  In some cases, no underlying cause can be identified for chronic vulvar pain that may arise in the patient.

Acute vulvar pain is commonly caused by dermatitis, which is a reaction of the vulva to an irritating substance.  Symptoms for dermatitis may include swelling, irritation, itching, burning, rash/redness, and/or pain.  Treatment for dermatitis includes discontinuation of exposure to the particular substance.  Skin medications may be applied to the vulva area to reduce symptoms.  However, prescription medication may be necessary in more severe cases.  Additional causes of acute vulvar pain may include certain infections, injuries, or skin disorders.  Treatment depends on the cause and type of disorder.  Autoimmune disorders may also cause vulvar pain and are treated with specific types of medication.

Chronic vulvar pain that has no identified cause is known as vulvodynia.  The pain is often characterizes by irritation, stinging, rawness, or burning.  There are two main subtypes of vulvodynia: generalized vulvodynia (pain may occur sporadically or constantly and is experienced in different areas of the vulva at different times) or vulvar vestibulitis syndrome (pain in the entrance of the vagina that occurs as a result of pressure or being touched).  Treatment for relief of chronic vulvar pain may involve self-care measures taken at home.  These may include washing the vulva with water only, gently patting (not rubbing) the vulva dry after bathing, using lubrication during intercourse, medication, relaxation exercises, and wearing 100% cotton underwear.  In more severe cases, treatments may involve medication or a surgical procedure.

If you are experiencing Vulvar pain, please contact our office to schedule an appointment with one of our skilled providers.