Causes
The definite causes of vulvodynia are still unknown. Some of the potential culprits are:
- Nerve injury or irritation of vulvar nerves
- Abnormal response to infection or trauma
- Genetic factors that make the vulva respond poorly to chronic inflammation
- Hypersensitivity to yeast infections
- Muscle spasms
- Allergies or irritation to chemicals or other substances
- Hormonal changes
- History of sexual abuse
- Frequent antibiotic use
How it is diagnosed?
In order to diagnose vulvodynia, your doctor will perform a physical exam. The physical may also include a pelvic exam.Testing may include a biopsy and tests to check for bacteria and/or yeast.
The Physical and Emotional Impact of Vulvodynia
Vulvodynia can have a huge impact on a woman’s life. It can impair her ability to have sex, exercise, socialize, or work. Many women suffering from vulvodynia report feeling ”out of control,” unable to have sexual intercourse and unable to fully enjoy life, leading many to depression.
Treatment of Vulvodynia: Self-Care
These are a few things women can do to help relieve symptoms of vulvodynia or keep them under control, such as:
- Avoid Potential Irritants (ie. soaps, medications, or douches)
- Use dermatologically approved detergent and don’t use fabric softener on panties.
- Use unscented white toilet paper.
- Wear 100% white cotton underwear, menstrual pads, and tampons.
- Avoid getting shampoo on the vulvar area.
- Avoid perfumed creams or soaps, pads or tampons, and contraceptive creams or spermicides.
- Avoid hot tubs or pools with lots of chlorine.
- Rinse the vulva with cool water after urination and intercourse.
- Avoid foods that can irritate your urine. This may include foods such as greens, beans, berries, chocolate, or nuts.
- Wear loose-fitting pants and skirts; don’t wear pantyhose.
- Keep the vulva clean and dry.
- Soak in lukewarm or cool sitz baths.
The good news is that vulvodynia is very treatable and doesn’t have to be a complete handicap for the individual affected. As long as it is properly diagnosed, your doctor will more than likely be able to find the appropriate treatment for you.
