What Is the Treatment for Vulvar Pain?

Chronic vulvar discomfort, characterized by vulvar burning, tingling, tenderness, or irritation, is collectively referred to as vulvar pain and includes vulvar pain caused by vulvovaginal inflammation and ring vulvitis.

Basic Information

Visiting department
Gynecology
Common causes
Caused by fungal infection and inappropriate medication, psychological factors, genetic factors, dietary factors, etc.
Common symptoms
Vulvar vestibular area with erythema and tenderness
Contagious
no

Causes of vulvar pain

Vulvar pain may be multifactorial, such as fungal infection and inappropriate medication, psychological factors, genetic factors, dietary factors, the effects of sex hormones, and abnormal pelvic floor muscle tension.

Clinical manifestations of vulvar pain

Vulvar vestibularitis
The vulva is painful after compression, and there are erythema and tenderness in the vestibular area of the vulva.
2. Circular vulvitis
Intermittent vulvitis often occurs during menstruation and irritation after intercourse. The vulva has erythema and mild desquamation.
3. Feeling abnormal vulvar pain
Occurs in menopausal women. Persistent, non-irritating dull vulvar pain, occasionally involving perianal, perineum, and inner thighs. May be accompanied by other chronic pain. Occasionally, erythema was found on the vulva, with no abnormalities and no obvious tenderness.

Vulvar pain examination

1. Gynecological examination.
2. Vaginal discharge examination.
3. Can check human papilloma virus.

Diagnosis of vulvar pain

Diagnosis can be based on medical history, symptoms, clinical examinations and laboratory tests.

Vulvar pain treatment

Anti-inflammatory
Targeted anti-inflammatory treatment, using antibiotics or antifungals.
2. Relieve pain
(1) Apply local anesthetic such as lidocaine gel during intercourse.
(2) Antidepressants have a therapeutic effect on pain.
(3) Local injection of amitriptyline or interferon is effective in some cases.
(4) Surgery may be considered for those with severe pain who are not able to respond to medication.
3. Pelvic physiotherapy
Might work.

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