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Doctor insights on: Vestibulitis

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Dr. Ira Katz
37 Doctors shared insights

Vestibulitis (Overview)

Vulvar vestibulitis syndrome (vvs), vestibulodynia, or simply vulvar vestibulitis is vulvodynia localized to the vulvar region. It tends to be associated with a highly localized “burning” or “cutting” type of pain. Vulvar vestibulitis syndrome (vvs) is the most common subtype of vulvodynia that affects premenopausal women - the syndrome has been cited as affecting about 10%–15% of women.


Dr. Bernstein Joel Dr. Joel
ENT - Head & Neck Surgery
56 years in practice
State University of New York Downstate Medical Center College of Medicine
1

1
I have vestibulitis for the past few years and I would really like it to go away. Any suggestions?

I have vestibulitis for the past few years and I would really like it to go away. Any suggestions?

Non-specific: The term vestibulitis literally means an inflammation of the balance portion of the inner ear. As ENT docs, we see many people with balance disorders and very frequently it is hard to make a specific diagnosis. The doctor who has used this term to describe your balance problem is taking a leap of faith by presuming you have an inflammation of the inner ear balance mechanism. Get another opinion.

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Dr. Ira Katz
37 Doctors shared insights

Vestibulitis (Overview)

Vulvar vestibulitis syndrome (vvs), vestibulodynia, or simply vulvar vestibulitis is vulvodynia localized to the vulvar region. It tends to be associated with a highly localized “burning” or “cutting” type of pain. Vulvar vestibulitis syndrome (vvs) is the most common subtype of vulvodynia that affects premenopausal women - the syndrome has been cited as affecting about 10%–15% of women.


Dr. David Rosenfeld Dr. Rosenfeld
Pain Management
23 years in practice
University of Wisconsin School of Medicine and Public Health
2

2
What are the main symptoms of vestibulitis?

What are the main symptoms of vestibulitis?

See below: •severe pain with pressure (for example: biking, exercise, tight fitting clothes). • vaginal entry such as tampon use or intercourse. • burning, stinging, irritation, or raw sensation within the vestibular area. •vestibular redness • the urge to urinate frequently or suddenly.

Dr. Jovita Anyanwu Dr. Anyanwu
Internal Medicine
26 years in practice
Lyceum Northwestern, Dr. Francisco Q. Duque Medical Foundation
3
Dr. Mabel Obeng Dr. Obeng
Obstetrics & Gynecology
17 years in practice
Virginia Commonwealth University School of Medicine
4

4
How do you heal vulvar vestibulitis? I know secondary vaginismus often comes with it as a result, but I can't get past the pain of the raw/irritated tissue to even try to treat the vaginismus. I would love to hear any ideas on healing the vulvar vestibuli

How do you heal vulvar vestibulitis? I know secondary vaginismus often comes with it as a result, but I can't get past the pain of the raw/irritated tissue to even try to treat the vaginismus. I would love to hear any ideas on healing the vulvar vestibuli

The: The best thing to do will be to see a gyn doctor to discuss the problem in detail. If you have a vaginal infection, that by exacerbate the problem. Also if you are allergic to a detergent you use to wash your clothes etc. Cold compresses and sitzs baths may help in the short term. Long term solutions can be formulated by you and your doctor. Frequent nerve blocks, vaginal estrogen, local anesthetics, biofeedback and pelvic floor therapy may help.

Dr. Michael Ekizian Dr. Ekizian
Internal Medicine
16 years in practice
University of Texas Southwestern Medical School at Dallas
5

5
How do you treat vulvar vestibulitis?

Vulvar pain: The new terminology for vulvar vestibulitis is localized provoked vulvodynia. It is characterized by severe pain incited by focal touch or pressure of the vulva. Most patients with localized provoked pain are referred for physical therapy to the pelvic floor with biofeedback. It is most useful for patients who also have vaginismus, back pain, or muscle spasms.

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Dr. David Rosenfeld Dr. Rosenfeld
Pain Management
23 years in practice
University of Wisconsin School of Medicine and Public Health
6

6
What is the treatment for vestibulitis?

See below: Depending on the specific diagnosis, treatment may include fluconazole, calcium citrate, tricyclic antidepressants, topical corticosteroids, physical therapy with biofeedback, surgery or laser therapy. Since vulvodynia is often a chronic condition, regular medical follow-up and referral to a support group are helpful for most patients.

Dr. Michael Ekizian Dr. Ekizian
Internal Medicine
16 years in practice
University of Texas Southwestern Medical School at Dallas
7

7
What are treatments for vulvar vestibulitis?

Vulvar pain: The new terminology for vulvar vestibulitis is localized provoked vulvodynia. It is characterized by severe pain incited by focal touch or pressure of the vulva. Most patients with localized provoked pain are referred for physical therapy to the pelvic floor with biofeedback. It is most useful for patients who also have vaginismus, back pain, or muscle spasms.

Dr. Alan Patterson Dr. Patterson
Obstetrics & Gynecology
38 years in practice
Indiana University School of Medicine
8

8
I believe I have vulvar vestibulitis. Is there a cure or treatment for this? Intercourse has become unbearable! Please help.

I believe I have vulvar vestibulitis. Is there a cure or treatment for this? Intercourse has become unbearable! Please help.

Please see your gyn: And you may need to get referred to a specilalist gyn for this usually at the closest university med school, it can be hard to treat in some cases and differnet treatment options work for different people and u may or may not have this.

Dr. David Rosenfeld Dr. Rosenfeld
Pain Management
23 years in practice
University of Wisconsin School of Medicine and Public Health
9

9
What are the main symptoms of vestibulitis?

See below: •severe pain with pressure (for example: biking, exercise, tight fitting clothes). • vaginal entry such as tampon use or intercourse. • burning, stinging, irritation, or raw sensation within the vestibular area. •vestibular redness • the urge to urinate frequently or suddenly.

Dr. David Rosenfeld Dr. Rosenfeld
Pain Management
23 years in practice
University of Wisconsin School of Medicine and Public Health
10

10
What is the definition or description of: vestibulitis?

What is the definition or description of: vestibulitis?

See below: Vulvar vestibulitis syndrome (vvs), vestibulodynia, or simply vulvar vestibulitis is vulvodynia localized to the vulvar region. It tends to be associated with a highly localized “burning” or “cutting” type of pain. Vulvar vestibulitis syndrome (vvs) is the most common subtype of vulvodynia that affects premenopausal women - the syndrome has been cited as affecting about 10%–15% of women.

See 1 more doctor answer
Dr. Bernstein Joel Dr. Joel
ENT - Head & Neck Surgery
56 years in practice
State University of New York Downstate Medical Center College of Medicine
11

11
I have vestibulitis for the past few years and I would really like it to go away. Any suggestions?

Non-specific: The term vestibulitis literally means an inflammation of the balance portion of the inner ear. As ENT docs, we see many people with balance disorders and very frequently it is hard to make a specific diagnosis. The doctor who has used this term to describe your balance problem is taking a leap of faith by presuming you have an inflammation of the inner ear balance mechanism. Get another opinion.

See 1 more doctor answer
Dr. Lester Thompson Dr. Thompson
Pathology
29 years in practice
Loma Linda University School of Medicine
12

12
Has anyone heard of the female condition called vestibulitis?

Inflammation: The vestibule is part of the vulva between the labia minora, where both the urethra and vagina open into. Inflammation or infection of this area is area is called vestibulitis.

Dr. Brian Nguyen Dr. Nguyen
Obstetrics & Gynecology
7 years in practice
Warren Alpert Medical School of Brown University
13

13
My friend suspectas vulvodynia vestibulitis syndrome - as symptom suggest this. What can you tell me about this syndrome?

My friend suspectas vulvodynia vestibulitis syndrome - as symptom suggest this. What can you tell me about this syndrome?

Underdiagnosed: vulvodynia is a under-diagnosed cause of vaginal pain, particularly at the entrance to the vagina. It can severely affect a woman's sexual function and is somewhat difficult to treat, but if combined with physical therapy and a gynecological specialist, it can be treated

Dr. David Rosenfeld Dr. Rosenfeld
Pain Management
23 years in practice
University of Wisconsin School of Medicine and Public Health
14

14
What is the treatment for vestibulitis?

See below: Depending on the specific diagnosis, treatment may include fluconazole, calcium citrate, tricyclic antidepressants, topical corticosteroids, physical therapy with biofeedback, surgery or laser therapy. Since vulvodynia is often a chronic condition, regular medical follow-up and referral to a support group are helpful for most patients.

Dr. Pamela Pappas Dr. Pappas
Psychiatry
38 years in practice
Wake Forest University School of Medicine
15

15
Why are antidepressants used for vulvar vestibulitis?

Why are antidepressants used for vulvar vestibulitis?

Chronic pain: Your doctor may use low doses of certain antidepressants such as amitriptylene because they can help with chronic pain.

Dr. Michael Ekizian Dr. Ekizian
Internal Medicine
16 years in practice
University of Texas Southwestern Medical School at Dallas
16

16
How do you treat vulvar vestibulitis?

Vulvar pain: The new terminology for vulvar vestibulitis is localized provoked vulvodynia. It is characterized by severe pain incited by focal touch or pressure of the vulva. Most patients with localized provoked pain are referred for physical therapy to the pelvic floor with biofeedback. It is most useful for patients who also have vaginismus, back pain, or muscle spasms.

See 1 more doctor answer
Dr. Michael Ekizian Dr. Ekizian
Internal Medicine
16 years in practice
University of Texas Southwestern Medical School at Dallas
17

17
What can be done for vulvar vestibulitis?

Vulvar pain: The new terminology for vulvar vestibulitis is localized provoked vulvodynia. It is characterized by severe pain incited by focal touch or pressure of the vulva. Most patients with localized provoked pain are referred for physical therapy to the pelvic floor with biofeedback. It is most useful for patients who also have vaginismus, back pain, or muscle spasms.

Dr. Dennis Higginbotham Dr. Higginbotham
Obstetrics & Gynecology
26 years in practice
University of Kansas School of Medicine
18

18
What are good options for vulvar vestibulitis?

Patience: There are treatment options, but success rates vary widely. Your doctor is your best reference for treatment. Often the condition will resolve on its own so patience is an effective strategy for many women.

Dr. James Okamoto Dr. Okamoto
Family Medicine
30 years in practice
University of Nebraska College of Medicine
19

19
What OTC things can I take and use to treat vulvar vestibulitis?

What OTC things can I take and use to treat vulvar vestibulitis?

Not too many -: Not too many OTC treatments have been successful. Treatment is based on underlying cause, so working with a good GYN is key, since progress can be slow and frustrating for pt and MD! If you have had this a while, you probably already tried lubricants and massage. One OTC treatment that helped one VV sufferer is steam baths. Http://www. Vulvarvestibulitisrelief. Com/articles/31-Vaginal-Steam-Baths

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Dr. Michael Ekizian Dr. Ekizian
Internal Medicine
16 years in practice
University of Texas Southwestern Medical School at Dallas
20

20
What are treatments for vulvar vestibulitis?

Vulvar pain: The new terminology for vulvar vestibulitis is localized provoked vulvodynia. It is characterized by severe pain incited by focal touch or pressure of the vulva. Most patients with localized provoked pain are referred for physical therapy to the pelvic floor with biofeedback. It is most useful for patients who also have vaginismus, back pain, or muscle spasms.