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Last Updated: Oct 23, 2019
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Vestibulodynia: Symptoms, Causes and Treatment

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Dr. Amrapali DixitGynaecologist • 21 Years Exp.MS - Obstetrics and Gynaecology, MBBS
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Vestibulodynia is a disorder in which women suffer from discomfort or pain in the vestibular area of the vagina, which comprises of the Bartholin's gland known for producing vaginal lubrication, the urethra from where you pass urine, and other minor vestibular glands known to produce vaginal discharge. Overgrowth or excessive sensitivity of the nerve fibers present there is considered to be the reason why women suffer from Vestibulodynia. The symptoms have a huge impact on the sufferer as simple acts, such as sitting down for prolonged periods or walking causes discomfort. This disorder usually affects women between 20 to  40 years of age.

Symptoms:

  1. The symptoms of Vestibulodynia typically lasts for half or quarter a year. However, in some cases it may last for years, and a lifetime if untreated.
  2. Most women realize that they suffer from Vestibulodynia during their first sexual experience since the vestibular area is so hypersensitive that even the slightest touch during sexual intercourse, moving while in tight clothing as well as inserting tampons may cause some discomfort and pain.

The degree of pain experienced by women suffering from Vestibulodynia is variable. You may experience pain even after having had comfortable sexual relationships.

Causes:

  1. Apart from overgrowth or hypersensitivity of the nerve fibers in that region, other possible causes are tendencies of pain problems or disorders, chronic yeast infections like thrush, injuring the vestibular area during surgery or childbirth and/or extreme sensitivity to irritants like panty liners and detergent etc.
  2. Sometimes, the pain is due to deeply rooted psychological issues, such as sexual trauma and other factors, such as birth or while moving house.

Treatment:
Vestibulodynia is sometimes mistaken for a type of skin diseases. However for the best treatment, you must consult a gynecologist who will treat your condition depending on your symptoms. Mentioned below a few ways to treat Vestibulodynia: 

  1. Vaginal dilators, which are inserted into the vagina to relax the muscles present and gently stretch that area. Vestibulodynia also causes the pelvic floor muscles to tense up which can be overcome through vaginal dilators.
  2. Anesthetic Gels are water based gels, which have a small amount of local anesthesia and may numb the sensitive nerve fibers present there temporarily. Rub the gel over the tender areas, half an hour before indulging in sexual activities.
  3. You may even consume nerve fiber blocking tablets if you experience constant pain due to Vestibulodynia to tend to the sensitive nerve endings in your skin. If you wish to discuss about any specific problem, you can consult a Gynaecologist.
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