What is the difference between vulvodynia and vestibulodynia?

Vulvodynia or vestibulodynia is characterized as chronic pain around the opening of the vagina that has no identifiable cause and lasts for at least three months. Vulvodynia is a chronic condition characterized by burning pain or discomfort of the vulva. Vestibulodynia affects the area around the vaginal opening, causing sharp pains or stinging sensations during sexual intercourse or other activities. Living with this condition can be so uncomfortable that it becomes impossible to sit for long periods or even think about having sex.

Some may even find it impossible to wear tampons. Common symptoms include the following:

  • Burning sensation in or around the vagina
  • Swelling of the vulva
  • Extreme pain during intercourse
  • Feeling raw in or around the vagina
  • Intense itching
  • Throbbing of the vulvar area

What are some of the causes of vulvodynia and vestibulodynia?

Vulvodynia or vestibulodynia can often be challenging to diagnose, and patients can suffer for long periods. This fact, let alone the intense discomfort, can make life with vulvodynia extraordinarily stressful and upsetting.

While often the exact cause is multifactorial, vulvodynia and vestibulodynia can be associated with:

  • Past vaginal infections
  • Injury or trauma to the vulvar area
  • Hormonal changes
  • Allergies or sensitive skin
  • Disorders in the pelvic floor
  • Neuroproliferative (proliferation of nerve cells) changes

There is no reason to lose hope if you are experiencing this — treatment is possible by working with a pelvic pain specialist.

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How can vulvodynia be prevented?

This painful condition can:

  • Lead to emotional distress
  • Strain intimate relationships
  • Bring feelings of isolation or depression

Therefore, it is just as important to treat emotional trauma as it is to treat physical discomfort.

Treatments may include:

  • Topical medications
  • Oral Medications
  • Biofeedback therapy trains your pelvic floor muscles to relax
  • Pelvic floor physical therapy
  • Local anesthetics to temporarily relieve pain symptoms
  • Psychotherapy to release emotional blockages from past trauma
  • Surgical Interventions

How can BOTOX treat vulvodynia?

BOTOX can be an effective way to reduce and manage the pain associated with vulvodynia. The procedure can be done in-office, requires minimal anesthesia, and is 90-95% effective when done by an experienced provider. Dr. Bahlani is highly qualified and specializes in sexual and pelvic health — her experience makes her a top option for those considering BOTOX for their pelvic pain needs. With two rounds of injections spaced four weeks apart, you can see significant relief from your pain symptoms. Get back on track to living your best life — book an appointment with Dr. Bahlani today.


Can both vulvodynia and vestibulodynia be treated with BOTOX?

Yes, BOTOX can be a successful treatment option for both vulvodynia and vestibulodynia. When injected into the affected area, BOTOX can help to relax the muscles and decrease pain and discomfort.

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Why choose Pelvic Pain Doc for your vulvodynia treatment?

If you're struggling with chronic pelvic pain, Dr. Bahlani is ready and able to help. She is an experienced specialist in sexual and pelvic health and was even dubbed the "Pelvic Pain Guru" by Mashable. She offers personalized treatments and a holistic approach emphasizing lifestyle changes to help patients get back on track to living their best lives.

With fellowship training in sexual and pelvic health, board eligibility in urology and gynecology, and experience helping local and remote patients with their struggles, Dr. Bahlani provides 5-star care from an expert thought leader in resolving pelvic pain. Don't let your pain control you — choose us for the tailored treatment you need. Contact us today.

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