What is vulvodynia, and how is it diagnosed?

Written in association with: Mr Constantin Durnea
Published:
Edited by: Conor Lynch

In this article, highly regarded consultant obstetrician and gynaecologist, Mr Constantin Durnea, details what vulvodynia is, what causes it, and how it is treated.

What is vulvodynia?

Vulvodynia is a persistent, unexplained pain in the vulva. It can be provoked or unprovoked. It can be constant or triggered by touch, intercourse, tampon insertion, or even sitting.

 

What causes vulvodynia?

No identifiable cause is known unfortunately.

 

How is it diagnosed?

Vulvodynia is usually diagnosed after excluding the following:

 

  • inflammatory disease (lichen planus /sclerosus)
  • infections such as herpes and candida
  • trauma
  • hormonal deficiencies

 

Can vulvodynia improve on its own? When should women seek medical attention?

Usually, it can improve if there is an underlying medical condition causing it, such as thrush or temporary hormonal changes. However, vulvodynia with no underlying cause is unlikely to get better on its own.

 

How can it be prevented?

One can help reduce their chances of being diagnosed with vulvodynia by wearing loose-fitting, cotton underwear. Soap and scented hygiene products should be avoided wherever possible.

 

How can it be treated?

Vulvodynia can be treated through the application of cool gel packs and through the use of painkillers and anti-inflammatory drugs. Vaginal dilators can also help.

 

Physiotherapy with muscle relaxation is very effective when it comes to treating vulvodynia, as is TENS transcutaneous electrical nerve stimulation.

 

To book an appointment with Mr Constantin Durnea, visit his Top Doctors profile today

By Mr Constantin Durnea
Obstetrics & gynaecology

Mr Constantin Durnea is renowned consultant obstetrician and gynaecologist in Luton, Dunstable and Harpenden. He is specialist in all areas of urogynaecology, particularly vaginal prolapse, urinary incontinence, pelvic and vaginal pain and recurrent urinary tract infections. He is also expert in menstrual disorders, fibroidspolyps and chronic vaginal discourse

Mr Durnea qualified in medicine at Moldova’s Nicolae Testemițanu State University of Medicine and Pharmacy, where he also completed specialist training in obstetrics and gynaecology. Following his relocation to Ireland, he completed a PhD in pelvic floor dysfunction related to childbearing. He was awarded membership of the Royal College of Physicians of Ireland in 2011 and to England’s Royal College the following year. Mr Durnea currently sees patients in private practice as a consultant obstetrician and gynaecologist at Spire Harpenden Hospital and Luton and Dunstable University Hospital.

Mr Durnea continues to be actively involved in ongoing research and regularly contributes to peer reviewed journals. He participates in the activities of a number of professional bodies that look to improve standards within his specialty, including the International Urogynaecology Association and the International Collaboration for Harmonising Outcomes in Urogynaecology group. He is also an elected member of the International Urogynaecology Association's Terminology and Standardisation Committee who have sought his expertise to work towards a unification of urogynaecological linguistic terms.

Mr Durnea is an enthusiastic trainer and supervisor for trainee doctors. He additionally leads courses for general practitioners relating to his areas of expertise, such as pelvic floor dysfunction, female urinary incontinence and pelvic organ prolapse management.

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