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Symptoms

By Mayo Clinic staff

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Illustration of vulva 
Vulva

The word "vulvodynia" means "painful vulva." Your vulva consists of the pad of fatty tissue at the base of your abdomen (mons pubis), the labia, the clitoris and the opening of your vagina.

The main vulvodynia symptom is pain in your genital area, which can be characterized by:

  • Burning
  • Soreness
  • Itching
  • Stinging
  • Rawness
  • Painful intercourse (dyspareunia)
  • Throbbing

The pain you experience may be constant or intermittent and can last for months or even years, but it can vanish as suddenly as it started. A similar condition, vulvar vestibulitis, may cause pain only when pressure is applied to the area surrounding the entrance to your vagina.

Vulvar tissue may look minimally inflamed or swollen. More often, your vulva appears normal.

When to see a doctor
Although women often don't tell their doctors about the problem, vulvodynia is a fairly common condition.

If you experience pain in your genital area, discuss it with your doctor, or ask for a referral to a gynecologist. It's important to have your doctor rule out more easily treatable causes of vulvar pain, such as yeast or bacterial infections, skin conditions, and medical problems such as diabetes. Once your doctor has evaluated your particular symptoms, he or she can recommend treatments or ways to help you manage your pain.

References
  1. Boardman LA, et al. Benign vulvovaginal disorders. In: Gibbs RS, et al. Danforth's Obstetrics and Gynecology. 10th ed. Philadelphia, Pa.: Lippincott Williams & Wilkins; 2008:625.
  2. Stewart EG. Clinical manifestations and diagnosis of generalized vulvodynia. http://www.uptodate.com/home/index.html. Accessed May 18, 2009.
  3. Vulvodynia. The American College of Obstetricians and Gynecologists. http://www.acog.org/publications/patient_education/bp127.cfm. Accessed April 1, 2009.
  4. Haefner HK, et al. The vulvodynia guideline. Journal of Lower Genital Tract Disease. 2005;9:40.
  5. Harlow BL, et al. A population-based assessment of chronic unexplained vulvar pain: Have we underestimated the prevalence of vulvodynia? Journal of the American Medical Women's Association. 2003;58:82.
  6. Stewart EG. Treatment of vulvar pain syndrome. http://www.uptodate.com/home/index.html. Accessed May 18, 2009.
  7. Self-help tips for vulvar skin care. National Vulvodynia Association. http://www.nva.org/patient_services/Self_Help_Tips.html. Accessed May 18, 2009.

DS00159

July 15, 2009

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