Vulvodynia is pain in the vulva (area around the outside of the vagina) that lasts at least 3 months and does not have a specific cause. It can have a big effect on your life, but there are treatments that can help.
Vulvodynia can affect women of all ages. Anyone with a vulva can have vulval pain.
There's usually no change to the way your vulva looks, but it may feel uncomfortable or painful.
The pain may feel like:
- burning
- throbbing
- stabbing
- soreness
The pain can also:
- affect all or part of your vulva
- be constant or come and go
- start on its own or when your vulva is touched – for example, when inserting a tampon or having sex
- affect other areas, such as the inside of your thighs, around your bottom (anus), or the area where pee leaves your body (urethra)
- sometimes start when you have a poo
Vulvodynia can have a big impact on your life, affecting things like your sleep, concentration and sexual relationships.
See a GP if:
- you have pain or discomfort in your vulva that does not go away or keeps coming back
- you find it difficult inserting a tampon into your vagina because of the pain
- you find having sex difficult because you feel pain, such as burning or stinging
You can ask to see a female GP and for someone else to be with you in the room. This could be someone you know or another member of medical staff.
If you see a GP about vulval pain, they'll ask about your symptoms. They may also ask if you've had any skin conditions or infections in your vagina, or if having sex is painful.
They may ask if they can examine your vulva and vagina. A cotton bud is often used to gently touch your vulva to see which areas are painful.
A swab may be taken to help rule out other conditions that can cause vaginal soreness, such as an infection.
If the cause of your vulval pain cannot be found, you may be referred to a specialist for help managing the pain.
The main aim of treatment for vulvodynia is to help manage the pain.
Vulvodynia is often treated by more than one specialist, including:
- a gynaecologist
- a physiotherapist
- a psychologist
- a pain specialist
A number of different treatments may be recommended under the guidance of these specialists.
Treatments for vulvodynia can include:
- medicines – this may be a cream you rub on your vulva to numb the pain or tablets to treat nerve pain
- pelvic floor exercises to help you control your vaginal muscles
- gently widening your vagina using tampon-shaped objects (vaginal trainers)
- psychological therapies, such as cognitive behavioural therapy (CBT) or psychosexual therapy (therapy to help with sexual problems)
- surgery to remove the painful part of your vulva – this may occasionally be offered if other treatments have not worked
No single treatment works for everyone, and you may need to try several treatments to find out what works best for you.
Help and support
There are some things you can do to help reduce vulval pain and ensure good vaginal hygiene.
The exact cause of vulvodynia is not known.
It may be related to a number of things including:
- damage, irritation or over-sensitivity of the nerves in the vulva
- previous vaginal infections
- changes in levels of hormones, such as oestrogen
- weak pelvic floor muscles