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The weight loss could be due to the stress and/or a side effect of Ritalin.
Doctors don’t know the cause of most forms of vulvodynia. And there is no evidence that infections, such as sexually transmitted diseases, cause vulvodynia.
Researchers are trying to find the causes of vulvodynia. They may include:
Nerve injury or irritation
Abnormal response in vulvar cells to an infection or trauma
Genetic factors that make the vulva respond poorly to chronic inflammation
Hypersensitivity to yeast infections
Allergies or irritation to chemicals or other substancesHormonal changes
History of sexual abuse
Frequent antibiotic use
It is not reported that Ritalin causes the symptom you are having. However, it could be the cause.
Vulvodynia treatments focus on relieving symptoms. No one treatment works for every woman, and you may find that a combination of treatments works best for you. It may take weeks or even months for a new treatment regimen to noticeably improve your symptoms. Available options may include:
Medications. Tricyclic antidepressants that may help lessen chronic pain include amitriptyline, desipramine (Norpramin) and nortriptyline (Aventyl, Pamelor). Wellbutrin is not tricyclic antidepressant. Anticonvulsants such as carbamazepine (Tegretol) and gabapentin
(Neurontin) also may lessen the pain of vulvodynia. Antihistamines such as hydroxyzine can reduce itching.
The following tips may help you manage the symptoms of vulvodynia:
Try cold compresses. Cool compresses placed directly on your external genital area may help lessen pain and itching.
Avoid tightfitting pantyhose and nylon underwear. Tight undergarments restrict airflow to your genital area, often leading to increased temperature and moisture that can cause irritation. Wear cotton underwear to increase ventilation and dryness, and sleep without underwear at night.
Avoid hot tubs. Spending time in a hot tub may lead to discomfort and itching.
Avoid excessive hygiene. Washing or scrubbing the affected area harshly or too often can increase irritation. Instead, use plain water to gently clean your vulva and pat the area dry. After bathing, apply a preservative-free emollient, such as plain petroleum jelly, to create a protective barrier.
Use lubricants. If you're sexually active, apply lubricants before engaging in sexual intercourse.
Try an antihistamine at bedtime. This may help reduce itching and help you rest better.
Look for triggers and avoid them. The triggers that can make vulvar pain worse tend to be different for each woman. Your observations of what causes you pain are important. Avoid potentially irritating soaps, clothing dyes, contraceptive devices, creams and bath products. Use only white, unbleached toilet paper and 100 percent cotton sanitary products.
Work with your doctor. Over time you can work with your doctor to identify the approaches that work best for you.
Stay active. Regular exercise can help ease chronic pain, but stay away from exercises that put pressure directly on the vulva, such as bicycling.
Accept small steps of progress. Don't expect instant cures. Have confidence that you'll feel better over time.