Vulvodynia: Not talking about your fancy Swedish car…

The word vulvodynia literally translates to pain in the vulva.  

What exactly is the vulva? 

Vulvar tissue is external female genitalia which collectively refers to the labia (inner and outer tissue folds), clitoris, vaginal, and urethral openings.  Just like any other tissue in the body, the vulva can become subject to inflammation and pain.  

Individuals with vulvodynia may experience pain in one specific area or it can be more generalized throughout this region.  The pain presentation can also shift over time.  Everyone may experience pain differently but common qualifiers of vulvar pain often include: burning, stinging, stabbing, itching, rawness, and throbbing.  It’s important to remember that everyone’s pain experience will be unique! 

The cause behind vulvar pain development is not always fully known, but potential causes may include: inflammation, hormonal factors, genetic factors, neuropathic issues, and/or irritation from harsh products contacting the skin.  Often the pain can derive from several factors that layer on together and collectively cause issues.  

Vulvar pain can be provoked, so just painful when touched.  However, it can also be unprovoked and cause issues simply with clothing against the skin or for example sitting for longer periods on the tissue.  

There are various treatments for vulvodynia which may include utilizing topical creams/ointments, avoiding harsh irritants on the skin, wearing loose fitting and/or breathable cotton clothings, avoiding bathing, if sexually active utilizing lubricants.  There is also some evidence that modifying dietary factors can also help.  Everyone is different so an individualized assessment and treatment works best!  

Pelvic PTs are an important part of the care team for patients with vulvodynia.  Pelvic PTs are trained in evaluating and treating the musculoskeletal components of the pelvic floor.  Patients with vulvodynia often present with dysfunctional pelvic floor muscles which often contribute to vulvar pain.  Pelvic PTs also discuss lifestyle factors that may be playing a role.  

Vulvar pain is not something you should have to live with!  If you are experiencing vulvar pain it’s important to reach out to your health care provider to receive care.