Vulvodynia is chronic pain or discomfort of the vulva. The vulva includes the:
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:
You will be asked 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.
Your bodily fluids and tissues may need to be tested. This can be done with:
Talk with your doctor about the best treatment plan for you. Options include:
Medications may include:
Therapy can help strengthen and relax the pelvic muscles. This will ease muscle spasms. A referral to a doctor who specializes in pelvic floor issues may be needed.
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.
Vulvodynia. American Academy of Family Physicians Family Doctor website. Available at: http://familydoctor.org/familydoctor/en/diseases-conditions/vulvodynia.html. Updated April 2014. Accessed June 8, 2016.
Vulvodynia. EBSCO DynaMed Plus website. Available at: http://www.dynamed.com/topics/dmp~AN~T128775/Vulvodynia. Updated September 23, 2016. Accessed September 27, 2016.
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 22, 2013. Accessed June 8, 2016.
What is vulvodynia? National Vulvodynia Association website. Available at: http://www.nva.org/what-is-vulvodynia. Accessed June 8, 2016.
4/7/2014 DynaMed Plus Systematic Literature Surveillance. http://www.dynamed.com/topics/dmp~AN~T128775/Vulvodynia: Reed BD, Legocki LJ, et al. Factors associated with vulvodynia incidence. Obstet Gynecol. 2014;123(2.1):225-231.
Last reviewed June 2016 by Marcie Sidman, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.