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Female Sexual Dysfunction
Vulvar Vestibulitis
Vulvar vestibulitis is characterized by severe pain upon touch or pressure to the vulvar vestibule, causing significant discomfort during intercourse, tampon insertion, and gynecologic exams.
75%
Success Rate
3-6 months with conservative treatment; surgical recovery 6-8 weeks
Duration
Multiple
Treatment Options
3+ Groups
May Affect
What is Vulvar Vestibulitis?
Vulvar vestibulitis is characterized by severe pain upon touch or pressure to the vulvar vestibule, causing significant discomfort during intercourse, tampon insertion, and gynecologic exams.
Prevalence: Affects 10-15% of women; most common cause of entry dyspareunia
Symptoms and Signs
- •Sharp burning pain at vaginal opening with penetration
- •Pain with tampon insertion
- •Pain during gynecologic exams
- •Localized tenderness at 4-8 o'clock position
- •Redness of vestibular glands
- •Avoidance of sexual activity
Causes and Risk Factors
Common Causes
- →Chronic inflammation of vestibular glands
- →Nerve hypersensitivity
- →Pelvic floor muscle tension
- →Hormonal factors
- →Genetic predisposition
Risk Factors
- ⚠️Recurrent yeast infections
- ⚠️Long-term antibiotic use
- ⚠️Oral contraceptive use
- ⚠️Pelvic floor tension
Treatment Options
Expected Outcomes: 70-85% improvement with vestibulectomy; 50-60% with conservative therapy
Available Treatments:
- ✓Pelvic floor physical therapy
- ✓Topical lidocaine or estrogen
- ✓Tricyclic antidepressants
- ✓Vestibulectomy surgery
- ✓Cognitive behavioral therapy
- ✓Biofeedback therapy
- ✓Trigger point injections
Prevention Tips
- →Avoid irritants
- →Pelvic floor relaxation
- →Proper hygiene
- →Cotton underwear
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