Dr. Jennifer Gunter: Understanding Vulvodynia
The nerves in the genital area are very sensitive and chemicals in everyday life, such as soaps, dryer sheets, and personal lubricants, can make things worse. Wear cotton underwear and for temporary relief consider ice packs (a bag of frozen peas works quite well) or soothing topical therapies such as cool tea bags or zinc oxide ointment. Other factors to consider are stress and depression, which can change brain chemistry affecting nerve pain– this is not the cause of your pain, but it can make things worse, just like putting fuel on a fire.
Common therapies include prescription medications, either topical or by mouth, to target the abnormal nerve signaling and specialized physical therapy for the muscles of the pelvic floor. Some women can also benefit from injections that target the nervous system or the muscles. Other options include biofeedback, acupuncture, and meditation. Having a chronic pain condition wears on your body and psyche so even if you aren’t depressed a psychologist can help you regain some balance in your life.
If you are among the many women with vulvodynia remember you are not alone. Read all that you can about your condition and find a doctor who has expertise in this area.
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