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Management of vulvar pain
1Royal North Shore Hospital, Sydney, New South Wales, Australia. gaylef@chw.edu.au
Dermatologic Therapy
|February 6, 2004
Summary
Vulvodynia, or vulvar pain, is a symptom, not a disease. This review covers diagnosing and managing chronic skin conditions causing vulvar pain, differentiating primary and secondary causes.
Area of Science:
- Gynecologic Dermatology
- Pain Medicine
- Vulvology
Background:
- Vulvodynia is defined as chronic vulvar pain, encompassing sensations like burning, soreness, and irritation.
- It can be primary (without identifiable cause) or secondary to vulvar skin conditions.
- Accurate diagnosis is crucial for effective management of vulvar pain.
Purpose of the Study:
- To review the diagnosis and management of chronic dermatologic diseases causing vulvodynia.
- To differentiate between primary and secondary vulvodynia.
- To address the complexities in understanding and treating primary vulvodynia.
Main Methods:
- Literature review focusing on diagnostic criteria for vulvodynia.
- Analysis of dermatologic conditions associated with vulvar pain.
- Summary of current management strategies for primary and secondary vulvodynia.
Main Results:
- Vulvodynia is a symptom, not a disease, characterized by various vulvar sensations.
- Primary vulvodynia lacks observable dermatologic disease, with potential causes including neuropathy and pelvic floor dysfunction.
- Secondary vulvodynia stems from identifiable vulvar skin conditions.
Conclusions:
- Accurate diagnosis of the underlying cause is the essential first step in managing vulvodynia.
- Management strategies for secondary vulvodynia are more established than for primary vulvodynia.
- Further research is needed to understand the etiology and controversial treatments of primary vulvodynia.
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