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Vulvar
Vestibulitis
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What is Vulvar
Vestibulitis?
Vulvar Vestibulitis is a condition which causes redness and pain of the vestibule.
Vulvar
Vestibulitis - also
referred to as "Vestibulitis,"
vulvar pain, painful vulva and Vestibulodynia, is an inflammation of the vulvovaginal
skin and the mucous secreting glands found in and around the vulva. The mucous
secreting glands are called the lesser vestibular glands.
Vulvar Vestibulitis may include all the area around the opening of the vagina but is normally seen in the lower part of the vaginal opening.
Vulvar
Vestibulitis occurs in
women of all ages. It can occur in women who are sexually active and also in
women who have never been sexually active.
Many
women with this problem have suffered physically and emotionally for months or
years, have seen a number of physicians, and have tried many unsuccessful
treatments in search of relief.
What are the signs and symptoms of Vulvar
Vestibulitis?
* Severe pain with pressure (for example: biking, exercise, tight fitting
clothes ).
* Vaginal entry such as tampon use or intercourse.
* Burning, stinging, irritation, or raw sensation within the vestibular area.
* Vestibular redness
* The urge to urinate frequently or suddenly.
How is Vulvar
Vestibulitis
diagnosed?
Your doctor or health care provider will examine the vulva and vestibule to identify the common skin changes seen with Vulvar Vestibulitis. Pain is usually felt if the vestibule area is touched with a cotton tipped applicator. A sample of your vaginal discharge is collected and tested to rule out infection.
What
causes Vulvar
Vestibulitis?
The exact cause is unknown, but many studies are being conducted to determine
the cause of Vulvar
Vestibulitis.
The
following factors have been associated with Vulvar
Vestibulitis:
* HPV (Human Papilloma Virus)
* Chronic Yeast Infections
* Chronic bacterial infections
* Chronic changes of pH (acid-base balance in the vagina)
* Chronic use of chemicals/irritants such as detergents, soaps, spermicides or
lubricants.
What is the treatment for Vulvar
Vestibulitis?
Treatment may include any of the following:
* Follow the Guidelines for Vulvar Skin Care
* Steroid Ointments
How it is used: A thin layer is applied to the vulvovaginal
areas.
How it Works: Decreases redness, irritation, and burning. Caution: Use only as
prescribed by your doctor. Overuse may result in thinning of the skin which will
make your problem worse rather than helping it.
* Trichloroacetic Acid (TCA) may be used in some cases as determined by the
severity of the symptoms you have. TCA is a chemical that is used to destroy
small areas of the irritated skin allowing new healthy skin to grow in its
place.
* Interferon Injections are used to increase your body's response to infection.
Helpful
treatment hints for Vulvar
Vestibulitis:
* Vitamin A and D Ointment How it is used: Apply to the areas of discomfort.
How it Works: Protects the skin, decreases irritation, heals, and soothes.
* Lidocaine Gel may be prescribed after initial treatment.
How it is used: Apply lidocaine gel to the vulvovaginal
areas of discomfort.
How it Works: Numbs areas before intercourse.
Caution: After applying, wait until area becomes less sensitive before
intercourse. Burning may occur for a short time (
* Witch Hazel Pads:
How it is used: Apply to the vulvovaginal
areas of discomfort.
How it Works: Decreases burning and irritation after intercourse and urinating.
* Cleansing Bottle - Pour plain luke-warm water over the vulva after urinating
to remove urine from irritated area.
* Calcium Citrate Tablets- How it is used: Take orally 1200-1800mg. elemental calcium every day. How it Works: Thought to decrease certain crystals in the urine which may cause burning.
* Cranberry Juice How it is used: Drink an 8oz. glass every day.
How
it Works: Increases the acid content of the urine to decrease bladder
irritation.
* Limit High Oxalate Foods - May decrease amount of oxalate crystals in urine.
Oxalate crystals cause urinary symptoms such as the urge to urinate frequently
or suddenly.
* Baking Soda Soak- Soak in luke warm bath water with 4 to 5 tablespoons of
baking soda to help soothe vulvovaginal
itching and burning. Soak 1 to 3 times a day for 10 to 15 minutes. If you are
using a sitz bath, use 1 to 2 teaspoons of baking soda.
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