The main vulvodynia symptom is pain in your genital area, which can be characterized as:
- Painful intercourse (dyspareunia)
Your pain might be constant or occasional. It might occur only when the sensitive area is touched (provoked). You might feel the pain in your entire vulvar area (generalized), or the pain might be localized to a certain area, such as the opening of your vagina (vestibule).
Vulvar tissue might look slightly inflamed or swollen. More often, your vulva appears normal.
A similar condition, vestibulodynia, causes pain only when pressure is applied to the area surrounding the entrance to your vagina.
When to see a doctor
Although women often don't mention vulvodynia to their doctors, the condition is fairly common.
If you have pain in your genital area, discuss it with your doctor or ask for a referral to a gynecologist. It's important to have your doctor rule out more easily treatable causes of vulvar pain — for instance, yeast or bacterial infections, herpes, precancerous skin conditions, genitourinary syndrome of menopause, and medical problems such as diabetes.
It's also important not to repeatedly use over-the-counter treatments for yeast infections without seeing your doctor. Once your doctor has evaluated your symptoms, he or she can recommend treatments or ways to help you manage your pain.
Doctors don't know what causes vulvodynia, but possible contributing factors include:
- Injury to or irritation of the nerves surrounding your vulvar region
- Past vaginal infections
- Allergies or sensitive skin
- Hormonal changes
- Muscle spasm or weakness in the pelvic floor, which supports the uterus, bladder and bowel
Because it can be painful and frustrating and can keep you from wanting sex, vulvodynia can cause emotional problems. For example, fear of having sex can cause spasms in the muscles around your vagina (vaginismus). Other complications might include:
- Sleep disturbances
- Sexual dysfunction
- Altered body image
- Relationship problems
- Decreased quality of life