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Tests and diagnosis

By Mayo Clinic staff

Before diagnosing vulvodynia, your doctor will ask you several questions to get a better idea of your medical history and to understand the location, nature and extent of your symptoms.

As part of his or her evaluation, your doctor may also perform these tests:

  • Pelvic exam. During this exam, your doctor visually examines your external genitals and vagina for signs of infection or some other cause of your vulvodynia symptoms. Even if there's no visual evidence of infection, your doctor may take a sample of cells from your vagina to test for a vaginal infection, such as a yeast infection or bacterial vaginosis.
  • Cotton swab test. During this test, your doctor uses a moistened cotton swab to gently and methodically check for specific, localized areas of pain in your vulvar region.
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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