How to Treat Vulvadynia

Vulvodynia is a painful condition that affects the vulva, the opening of your vagina. You experience pain, itching, burning and irritation that can interfere with sexual activity and make it difficult to sit still for prolonged periods of time. The cause is still unknown but has been linked to nerve damage, history of recurrent vaginal infections and allergies. Treatments aim to relieve symptoms and include medications and self-care measures. You might need to experiment with different treatments to find your optimal regimen and results might not be evident for weeks or even months. The Mayo Clinic offers several suggestions.

Instructions

• 1

  Take medications to ease the pain and other symptoms. Several different types of medications interfere with your body's pain response; your doctor can determine the most appropriate treatment for you. Possible medications include tricyclic antidepressants (Pamelor, Aventyl), anti-convulsants (Neurontin, Tegretol) and antihistamines, which lessen itching. Take all medications as directed and do not stop or alter your doses without talking to your doctor.

• 2

  Use topical anesthetics to make sex more comfortable. They numb the area and provide temporary pain relief. The most common treatment is lidocaine. It is usually applied 30 minutes before intercourse. Your doctor will give you instructions on proper use. Use a water-based lubricant as well.

• 3

  Try biofeedback therapy. It teaches you how to recognize and control certain reactions in your body. In regards to vulvodynia, it can help you lessen pain and learn how to relax your pelvic muscles. An experienced practitioner can teach you how to use biofeedback and it can be performed anywhere.

• 4

  Consider surgery if the affected area is clearly identified. You can have the tissue surgically removed, which can ease the pain.

• 5

  Apply cold compresses to ease pain and itching.

• 6

  Do not wear nylon underwear or tight pantyhose or other tight clothing. They interfere with blood flow, which increases temperature and moisture. This triggers irritation. Wear cotton underwear and do not wear underwear to bed.

• 7

  Wash the area gently with water and pat dry. Avoid excessive scrubbing.

• 8

  Exercise on a regular basis to help chronic pain but avoid bicycling or any other activity that puts pressure directly on the vulva.