Vulvodynia
Medically reviewed by the SEDU Clinical Review Board. Detailed pathophysiology, symptoms, and care guidelines.
Clinical Overview
Chronic vulvar discomfort or pain characterized by burning, stinging, irritation, or rawness, occurring without an active clinical infection or dermatological disorder.
Associated Symptoms
- Chronic Vulvar Burning & Pain
- Dyspareunia (Painful Intercourse)
- Chronic Pelvic Pain
Treatment Pathways
- Pelvic Floor Physical Therapy (PFPT)
- Acupuncture & Neuromodulation
- Lifestyle & Anti-Inflammatory Diet
Causes & Mechanisms
Multifactorial etiology involving neuropathic hypersensitivity (increased nerve density in the vulvar vestibule), pelvic floor muscle dysfunction, and central nervous system pain sensitization.
Risk Factors
Diagnosis & Screening
Clinical diagnosis of exclusion; confirmed via a standardized cotton-swab test to map localized tenderness in the vestibule.
Prevention & Care Guidelines
Tricyclic antidepressants or anticonvulsants (for nerve pain), topical local anesthetics, pelvic floor physical therapy, and cognitive therapy.
Frequently Asked Questions
Q:Can yeast treatments make vulvodynia worse?
Yes. Repetitive use of harsh antifungal creams can cause chemical dermatitis and sensitize the local nerves.
Clinical References & Journals
- 1National Vulvodynia Association (NVA) Guidelines for Diagnosis and Treatment, 2020.
- 2British Association of Dermatologists (BAD) Vulvar Pain Guidelines.