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Questions on Treatment for Vulvodynia
Vulvodynia is a condition that creates chronic pain in the vulva region and can occur without a clear reason or cause. Pain is usually the most obvious symptom of vulvodynia which can appear in the form of an excessive burning, stinging and cutting sensation that affects the vulva, labia and the opening of the vagina. This condition can last for years and, in some cases, it can be constant while in others it may come and go or flare up after irritation to the vulva. To learn more about vulvodynia and how to treat this condition, take a look below at the questions that have been answered by the Experts.
What kind of specialist should a person see if they have vulvodynia? Is there anything that can ease the discomfort?
Generally, a woman would consult with her OB/GYN when dealing with vulvodynia. There are a few possible approaches to relieving the pain that are mentioned below.
One of the best approaches to easing any discomfort is to avoid anything that may cause irritation to the vulva including soaps, perfumes and douches. Laundry detergent should be dermatologically approved and fabric softener should generally not be used on panties. White, soft and unscented toilet paper can help avoid irritation as well as wearing loose fitting clothes and all white cotton panties, pads and tampons.
Apart from this, avoid applying shampoos, perfumed body wash,
creams or spermicide to the vulva. Certain foods may also cause irritation in the urine such as greens, beans, berries, chocolate and nuts. In addition, chlorine can irritate the condition so pools and hot tubs which contain high amounts of chlorine should be avoided.
Stay away from activities that increase pressure on the vulva such as horseback riding and biking and use a rubber or foam donut to ease the pressure of the vulva while sitting.
Along with following these precautions, use topical medication that can be applied directly to the vulva to provide relief. Other prescribed medication and therapeutic exercises can also help ease discomfort. Use water soluble lubricants such as K-Y jelly to avoid any irritation to the affected area during sex and rinse the vulva clean with cool water and keep it dry after sex or urination.
While all the methods above can provide relief, in cases of certain kinds of vulvodynia where the symptoms are too much to bear, surgery is another option that can be discussed to remove the painful tissue.
Are there any treatments for vulvodynia?
In most cases, the treatment most commonly used for Dysesthetic vulvodynia is tricyclic antidepressants. Apart from this, there are topical creams and Interferon injections available that generally help to ease the discomfort. A person can also use Lignocaine which is a local anesthetic and emollients to replace soaps which will both provide relief for a short time. Kegel perineal exercises seem to be very beneficial for Vulval vestibulitis as well. In addition to this, Psychsexual therapy which includes relaxation and physiotherapy helps to aid a woman in having penetrative sex. As a last resort, surgery can be done for the more severe cases of vulvodynia.
What can help with pain caused by Dysesthetic vulvadynia?
Case details: Complete hysterectomy with ovaries taken out six years ago. In many cases, using a vaginal dilator can help to keep the vagina open which will reduce the pressure on the vulva. Vagifem is an
suppository that can also be used to provide relief by staying in the vagina and not getting absorbed by the rest of the body. Using an estrogen
is again effective in easing discomfort.
To take care of the pain, Lyrica or Neurontin are medicines that are typically recommended. In addition, Tramidol is another very common medicine for pain relief associated with Vulvadynia and doesn't generally become addictive like other narcotics.
How do I know I have vulvodynia and what are the general treatments for it?
Vulvodynia is a medical term that generally refers to pain in the pelvis that is chronic in nature and looks like it originates at the vestibule. The treatment for this condition includes the use of topical numbing products, steroid injection and sometimes surgery. By visiting a doctor that specializes in this condition, one can check if vulvodynia is the cause of any symptoms that are present.
What can be taken to help the soreness and irritation caused by vulvodynia?
Case details: Tried monstat creams, avoiding sweets, tried to drink small quantities of peroxide in distilled water. Problem keeps recurring. Generally, in order to ease the symptoms associated with vulvodynia, prescriptions to Lyrica and Vagifem suppositories can provide relief. Aside from these medications, precautions can be taken to avoid irritating the vulva or putting pressure on the vulva. Also, using Clotrimazole for two weeks can help to clear a possible a yeast infection that may be the cause of this as well. If the problem keeps recurring despite the medication, check for a condition called Lichen sclerosis and treat it with Clobesterol.
The causes for vulvodynia are not clear as yet although women who experience this condition deal with excessive pain and discomfort. While medication can ease the symptoms, in some cases, surgery provides the best relief. If you have any questions or concerns about vulvodynia, get in touch with an Expert now for medical clarity on the best options and methods of treatment available based on your individual situation.
Recent Vulvodynia Questions
Hi. My vulva has been burning for 2 months. Some days are
Hi. My vulva has been burning for 2 months. Some days are better, some worse. Pain moves around - even to anus. PCP ran tests and cultures. All negative except for herpes 1 and 2. 1 was old. 2 is new but I had no lesions. And pcp gave me antiviral meds for 7 days that didn't help. Over the counter yeast meds for 3 days didn't help. Pcp is sending me to a dermatologist. I found one that specializes in vulva. In the meantime I am using 1%hydrocortizone cream. For a week I felt better and today it flared up a lot. Should I do all the labs again? Iately my low belly area sort of tickles and low back aches at times. Could this be weird uti? It seems to get worse with stress. It started during sex while using a new diaphgram and condom. Since then I eliminated spermicide and diaphgeam. I also took morning after pill twice in the last three months. Could this be hormones? I'm under huge amount of stress. Should I get my hormones checked? Take antibiotics just to see? I'm desperate.
My ob gyn said that I have vulvodynia but I am not sure. Iam
My ob gyn said that I have vulvodynia but I am not sure. Iam 50 years old and had this for several years. I have non stop burning on the outside of my vagina. Does not hurt during intercourse but after. Underwear or no underwear, cotton or no cotton. Some days are better than others but not sure why. I keep going back to the dr. But they say everything looks healthy. It is like a chronic pain I can't get rid of. I don't know what else to do, please help
I am concerned I may have a cyst on my ovary. I am giving
I am concerned I may have a cyst on my ovary. I am giving some information just to give a little background about some of my medical history. I had a TAH April 2006 due to aggressive recurring cervical cancer. I have also had multiple surgeries and procedures following my TAH related to pelvic issues. In January 2007 I had an 8cm functional cyst on my left ovary, which caused me terrible pain. After taking birth control pills for a month with no resolution, my gyn oncologist was going to remove my left ovary. The surgery was only supposed to be about an hour but turned into more than three hours due to me having severe adhesions. My doctor was unable to remove my left ovary due to the adhesions. She told me my left ovary was adhered to my intestine “as flat as a pancake” and wrapped with adhesions. The only good news at the time was that the cyst had ruptured and should not cause me any additional problems.
I have been seeing a specialist for pelvic pain since 2008 and he has performed several different surgeries/procedures related to my interstitial cystitis, pelvic floor dysfunction, vulvodynia, and chronic pelvic pain. He diagnosed me with having endometriosis on my vaginal cuff in 2009 following another surgery and I have been taking Yaz continuously since then to suppress the endometriosis which, the way I understand, would also suppress any additional functional cysts on my ovaries. Two days ago I began having pain on my left side where my ovary is. Yesterday the pain became worse and today it is worse than yesterday. The pain is all on my left side; my left ovary area in the front, my lower back, left side of the inside wall of my vagina, pain down the inside of my upper left thigh, and the left side of my rectal area. The pain is a constant aching pain but I also have sharp stabbing pains in all areas at random times. My stomach is very bloated, and I am urinating fairly frequently. Since I am taking Yaz continuously could I still have a functional cyst on my left ovary and, if so, do my symptoms seem consistent with a functional cyst or possibly another type of ovarian cyst? Any help would be appreciated. Thank you.
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