Vulvodynia – Daily, debilitating pain in the intimate area
There are no known organic or other specific causes of vulvodynia. It often begins at a young age, sometimes as early as the first menstrual period. Affected women suffer chronic itching, burning, and sensations of dryness or soreness in the vulvar and sometimes anogenital areas. If the symptoms are limited to the vestibule (the moist, mucous membrane-covered region of the vulva), the condition is known as vestibulodynia.
Regardless of the exact location of the symptoms, sudden, stabbing pains in the intimate area frequently occur—sometimes without any trigger or even with normal activities such as sitting, cycling, wearing tight work clothing, or inserting a tampon. Sexual intercourse is often impossible due to the extreme pain, which may persist for days afterward. Vulvodynia not only affects the woman herself but can also strain her relationship.
The difficult path to a vulvodynia diagnosis
By the time women receive a vulvodynia diagnosis, many have endured years of frustration—countless doctor visits (with gynecologists, dermatologists, urologists, psychiatrists, and others), numerous misdiagnoses, and unnecessary treatments, both prescribed by doctors and attempted through self-medication.
This highlights the importance of consulting an experienced gynecologist, who must take a detailed medical history and order various tests, sometimes involving other specialists. The biggest challenge is that the exact cause of vulvodynia remains unknown, meaning there is no specific test to diagnose it. Instead, doctors diagnose vulvodynia by excluding other potential conditions (diagnosis of exclusion).
Research into causes has only just begun
Vulvodynia has recently gained more attention in the medical field, yet little is still known about its causes. Some evidence suggests that inflammatory processes, immune system overreactions, and/or heightened pain sensitivity may play a role.
Additionally, psychological stress and emotional conflicts—whether recent or from childhood—often contribute to vulvodynia. Women experiencing such challenges should feel comfortable discussing them with their doctor. This information can help physicians diagnose vulvodynia more quickly and avoid unnecessary tests.
There is no single cure for vulvodynia
For many women, just receiving a diagnosis brings relief: their struggles finally have a name, and they realize they are not alone. However, there is no standardized treatment for vulvodynia. Instead, the goal is to alleviate symptoms and improve quality of life.
Treatment approaches may include:
- Various medications,
- Psychotherapy and behavioral therapy,
- Stress management techniques.
Most treatment plans follow a multimodal approach, combining multiple strategies. Women can also take an active role in their recovery by staying engaged in life—whether through exercise, yoga, dancing, or other hobbies.
Treatment requires patience and trust
Even the most experienced gynecologist cannot predict which therapy will work best for each woman. Improvement may take time, and setbacks are common. Some medications require weeks to take full effect.
This means that patience and trust in the treatment process are crucial. Women must stay committed to their therapy, as this is the only path to long-term relief and a fulfilling sex life.
Protecting the vulva from external irritants
Women with vulvodynia must protect sensitive areas from external irritants, such as:
- Tight or abrasive underwear,
- Harsh or scented toilet paper,
- Inappropriate intimate hygiene products.
Proper intimate care should be gentle but thorough, including the anogenital area:
- Cleansing: Plain, lukewarm water is sufficient. If a cleansing product is preferred, it should be specially formulated for soft intimate skin, such as Deumavan Washing Lotion.
- Drying: Use a soft towel and gently pat dry the area (do not use a hairdryer).
- Moisturizing: Apply a protective, lipid-replenishing ointment, especially to the vestibule. A suitable product is Deumavan Protective Ointment.
