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Doctor insights on: Vulvodynia

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Dr. Jane Van Dis
76 Doctors shared insights

Vulvodynia (Overview)

A condition where a woman experiences pain in the labia of her vagina, not due to infection or any other explainable causes.


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Is vulvodynia when sex is painful down there?

Is vulvodynia when sex is painful down there?

Yes: Vulvodynia means pain the vulva, it could be during intercourse or all the time. Provoked vulvodynia pain is elicited at the time of penetration, with a burning, stinging, reaping sensation.

Dr. Jane Van Dis
76 Doctors shared insights

Vulvodynia (Overview)

A condition where a woman experiences pain in the labia of her vagina, not due to infection or any other explainable causes.


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Got vulvodynia after pap smear. How does pap smear trigger vulvodynia? Does it mean doc caused nerve injury? Is this nerve injury permanent?

Got vulvodynia after pap smear. How does pap smear trigger vulvodynia? Does it mean doc caused nerve injury? Is this nerve injury permanent?

Vulvodynia describes: Only where the pain is, not why. If your pain is new &started after pap, then a mechanism of injury needs to be identified. Pap smears shouldn't be traumatic. Irritation or damage to pelvic nerves (pudendal for example) can cause these symptoms, but I lack the full info. Rarely pain syndromes develop with minor injuries, like crps/rsd (google). I've had mixed luck with spinal cord stimulation/meds.

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What are the symptoms of vulvodynia?

What are the symptoms of vulvodynia?

Pain: You can have vulvar itching, burning, tearing with penetration or in some cases when sitting or tight clothing. Some women will experience pain all the time.

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Why is it that most gynecologists are not able to properly diagnose and treat vulvodynia?

Why is it that most gynecologists are not able to properly diagnose and treat vulvodynia?

Not true: All gynecology specialists are very familiar, 16% of females suffer, no identifiable pathology, every test will be normal, no explainable etiology, yet woman suffer intractable pains, and doctors are helpless. If you are one of the victim, go to a specialized place, maintain intense hygiene, wear cotton under wear, nothing at night, and lubricants to vagina, hope you will feel better.

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Where can I find a doctor that knows about vulvodynia?

Where can I find a doctor that knows about vulvodynia?

Referrals: You can see your ob-gyn physician first; they are trained to helpl this condition and some also specifically study vulvodynia. The national vulvodynia association would also be a place to find good information and get a list of referral sources -- you need to join though. Https://www. Nva. Org/ also the book, "when sex hurts: a woman's guide to banishing seuxal pain" by goldstein is helpful.

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Can vulvodynia cause a burning sensation in the foot as well?

Can vulvodynia cause a burning sensation in the foot as well?

Vul;vodynia: Not usually affecting the foot; however there may be a co-morbid disc problem that inflicts pain to the foot.

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Heard Effexor (venlafaxine) is good to treat vulvodynia. Been on it for yrs, 150 mg with no help at all. How could I get this condition while on effexor (venlafaxine)? Any ideas?

Heard Effexor (venlafaxine) is good to treat vulvodynia. Been on it for yrs, 150 mg with no help at all. How could I get this condition while on effexor (venlafaxine)? Any ideas?

Vulvodynia: Great questions about effexor, which indeed can help some women with vulvodynia. It's not a standalone treatment though, and isn't preventative or curative. No single agent has found to help a majority of women, and a trial of multiple medications is usually needed. Others include elavil, norpramin, topical anesthetics, gabapentin, lyrica, (pregabalin) cymbalta, tramadol, tegretol, and estrogens.

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What is treatment for women have vulvodynia?

What is treatment for women have vulvodynia?

Many Treatments: Vulvodynia is a complex pain disorder which can consist of burning, shooting, itching, or throbbing pain of the vagina. It has no known etiology and is a diagnosis of exclusion (other problems must be ruled out). The treatments can consist of physical therapy, diazepam, trigger point injections, topical anesthesia, antidepressants, and surgery. Unfortunately, there is no fda approved treatment.

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What treatments are available for vulvodynia pain?

What treatments are available for vulvodynia pain?

Difficult problem: This is a tough problem to treat I generally start with a potent steroid cream and twice daily baths. Please see a gynecologist who specializes in vulvodynia if your physician is unable to help you. Check out http://www. Nva. Org for more information.

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Got vulvodynia for 6 weeks after pap smear. Don't know how it's triggered. Vulva & clitoris pain even without touch. Any cure?

Got vulvodynia for 6 weeks after pap smear. Don't know how it's triggered. Vulva & clitoris pain even without touch. Any cure?

Topical steroids: If there is no infection, you may have an acute reaction to the gel or some component from the pap exam. It is very unusual. If there is no infection, sometimes steroids are used to calm an inflammatory process Best wishes Dr M

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My vulva is red and gets irritated. Does vulvodynia usually make the vulva red? It doesn't hurt to have sex. Although it sometimes hurts in the front

My vulva is red and gets irritated. Does vulvodynia usually make the vulva red? It doesn't hurt to have sex. Although it sometimes hurts in the front

GET IT CHECKED: Vulvodynia causes pain in vulva without any rash or redness. Your redness and irritation may be just redness in the skin, due to skin condition, contact dermatitis, infection etc. So get it checked to be sure from your doctor or gynecologist.

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Any home remedies for vulvodynia?

Any home remedies for vulvodynia?

Many Treatments: Vulvodynia is a disorder of pain which can consist of burning, shooting, itching, or throbbing pain of the vagina. It has no known etiology and is a diagnosis of exclusion (other problems must be ruled out). Unfortunately, there is no fda approved treatment. At home, you can try sitz baths and lubricants for sex. However, I urge you to see your gynecologist or urogynecologist for options.

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How to tell if I have vulvodynia?

How to tell if I have vulvodynia?

You'll know: Vulvodynia is a medical term for stating that a woman's vulva is painful. There are four main categories involved with diagnosing vulvodynia. It can be a very frustrating symptom for women. Finding a compassionate doctor who will thoroughly evaluate & treat vulvodynia can be difficult for woman with this symptom. Even with thorough diagnosis & treatment, symptoms may improve but persist.

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What are the symptoms of vulvodynia?

Pain: You can have vulvar itching, burning, tearing with penetration or in some cases when sitting or tight clothing. Some women will experience pain all the time.

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Is vulvodynia when sex is painful down there?

Yes: Vulvodynia means pain the vulva, it could be during intercourse or all the time. Provoked vulvodynia pain is elicited at the time of penetration, with a burning, stinging, reaping sensation.

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What are my options if I suffer with vulvodynia?

See: Http://www. Mayoclinic. Org/diseases-conditions/vulvodynia/basics/treatment/con-20020326

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Can vulvodynia be cured through injection within days to hrs?

Can vulvodynia be cured through injection within days to hrs?

Depends: It depends on the cause of vulvodynia whether it can be cured by injection and how long it takes for the injection to work. Local anesthetics can relieve the pain almost immediately but to cure vulvodynia requires addressing the cause. Hope this helps.

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Can tampons cause vulvodynia?

Can tampons cause vulvodynia?

No: Women with vulvodynia often find it painful or difficult to use tampons but tampons aren't the cause of the pain. Something else has made the vulva or vagina sore.

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Is vulvodynia a symptom of IC/PBS?

Is vulvodynia a symptom of IC/PBS?

Possibly: Vulvodynia is a term used to describe any chronic pain condition of the vulvar area. It sometimes happens together with IC/PBS making it difficult to tell which condition is causing the symptoms, especially if there is pelvic floor dysfunction as well. A doctor with experience in vulvodynia should be able to help. There's a list of providers on www. Nva. Org if your usual doctors aren't sure.

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