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Vulvodynia is a chronic pain condition that affects the vulvar area and occurs without an identifiable cause. [1] Symptoms typically include a feeling of burning or irritation. [2] It has been established by the ISSVD that for the diagnosis to be made symptoms must last at least three months. [3]
Getting an accurate diagnosis often takes years. [11] A 2012 survey found that less the 2% of people who sought care for symptoms of vulvar pain were able to get a diagnosis. [12] Diagnosis is made by the q-tip cotton-swab test, in which pressure is applied in a circular fashion around the vulvar vestibule to assess complaints of pain.
Female genital disease is a disorder of the structure or function of the female reproductive system that has a known cause and a distinctive group of symptoms, signs, or anatomical changes. The female reproductive system consists of the ovaries , fallopian tubes , uterus , vagina , and vulva .
Vulvodynia isn't well understood, but doctors believe the pain comes from the extra nerve fibers in that outer part of the vagina and vulva. "It's the most enervated part of the vagina," says Dr ...
Diagnosis is based on the symptoms and examination. [2] It requires there to be no anatomical or physical problems (e.g., pelvic floor dysfunction, vulvodynia, vestibulodynia, etc) and a desire for penetration. [3] [9] Treatment may include behavior therapy such as graduated exposure therapy and gradual vaginal dilation.
Diagnosis is typically suspected based on a women's symptoms. [9] Diagnosis is made with microscopy (mostly by vaginal wet mount) and culture of the discharge after a careful history and physical examination have been completed. The color, consistency, acidity, and other characteristics of the discharge may be predictive of the causative agent.
Pelvic floor dysfunction can be assessed with a strong clinical history and physical exam, though imaging is often needed for diagnosis. As part of the clinical history, a healthcare provider may ask about obstetric history, including how many pregnancies and deliveries, what mode of delivery and if there were any complications during delivery ...
To determine if atrophic vaginitis is the cause for a patient's symptoms, differential diagnosis may be used. Other diagnosis include bacterial vaginosis , trichomoniasis , candidiasis, and contact irritation from irritants such as soaps, pantyliners, or tight-fitting clothing. [ 14 ]