Vulvodynia is chronic discomfort of the vulva. The discomfort may vary with irritation, soreness, burning or pain. There may be obvious vulval disease or no visible abnormality.
Adverse life experiences, including conflict, are common in women with vulvodynia. These factors may be important in mediating the genesis of pain through stress-related mechanisms. Sexual interest is diminished in these women. Sexual abuse is not a factor in most of these women.0801
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How can my vulvodynia be treated?
If there is a specific disease the relevant treatment will be provided. Chemical irritants in bath water or in underclothes should be avoided. Topical steroid creams may prove helpful. Sometimes mild antidepressants such as amitriptyline 25 mg at night may assist with sleep and this often seems to alleviate symptoms. side effects, including fatigue, dizziness, dry mouth and constipation, tend to resolve after a couple of weeks. Increasing your fluid intake and changing to a high fibre diet overcome some of these problems. When an antidepressant is prescribed as part of the treatment for pain it does not mean that your doctor is attributing your pain to a psychological problem. The dose of an antidepressant used for pain is much lower than in the treatment of depression.
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