Vulvodynia

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Vulvodynia

Vulvodynia (pronounced vuhl-voh-DIN-ee-uh) is a chronic pain condition that affects the vulva, the external female genital organs. This condition is characterized by the sensation of burning, stinging, itching or rawness in the vulva, with no identifiable cause.

Etymology

The term "vulvodynia" is derived from the Latin "vulva" meaning "womb" and the Greek "odyne" meaning "pain".

Symptoms

The primary symptom of vulvodynia is persistent, unexplained pain in the area around the opening of the vagina. This pain can be provoked by touch or pressure, such as during sexual intercourse or when inserting a tampon. Some women describe the pain as a burning, stinging, itching or throbbing sensation. The pain may be constant or intermittent, and it can affect a specific area of the vulva or be more widespread.

Causes

The exact cause of vulvodynia is unknown. However, several factors have been associated with this condition, including nerve injury or irritation, hormonal changes, allergies or sensitivities, and certain genetic factors. It is also thought that vulvodynia may be related to pelvic floor dysfunction, a condition that affects the muscles and connective tissue of the pelvic floor.

Diagnosis

Diagnosis of vulvodynia is based on a woman's symptoms, a physical examination, and the exclusion of other conditions that could cause vulvar pain. There is no specific test for vulvodynia, but a doctor may perform a pelvic examination to rule out other conditions.

Treatment

Treatment for vulvodynia is aimed at relieving symptoms. This may include medication to relieve pain and inflammation, physical therapy to strengthen the pelvic floor muscles, and counseling or cognitive-behavioral therapy to help manage the emotional impact of chronic pain. In some cases, surgery may be recommended to remove the affected skin and tissue.

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