The issues of pressure and vibration, along with comorbid conditions, such as irritable bowel syndrome, vulvodynia
, and pelvic floor dysfunction, may point to an overlap of regional symptoms with muscular involvement (FitzGerald et al., 2012).
is usually described as burning, stinging, irritation, or rawness of vulvar region.
It has the advantage that it can also reduce vaginismus (spasm of vaginal muscles) and help vulvodynia
. A thumb is recommended for self-massage and a simple oil (such as coconut oil) is helpful when used twice daily.
(8,9) Medical management of vulvodynia
presents a conspicuous gap in empirically validated recommendations.
Assessing Sexual Function and Dyspareunia with the Female Sexual Function Index (FSFI) in women with vulvodynia
. J Sex Marital Ther.
To help reduce irritation, ease pressure, and relieve pain from vulvodynia
* Neogyn is a non-hormonal cream containing cutaneous lysate and has been shown to improve vulvar pain in women with vulvodynia
. A double-blind placebo-controlled randomized crossover trial followed 30 patients over 3 months and found a significant reduction in pain during sexual activity and a significant reduction in erythema.
Successful therapy of vulvodynia
with local anesthetics.
Conditions commonly associated with IC include fibromyalgia, irritable bowel syndrome, chronic fatigue, vulvodynia
, migraines, depression, and anxiety.
Chronic pain disorders have reached epidemic levels in the United States, with the Institute of Medicine reporting more than 100 million Americans affected and related health care costs at more than $500 billion annually.' Although many pain disorders are confined to the abdomen or pelvis (chronic pelvic pain, vulvodynia
, irritable bowel syndrome, and bladder pain syndrome), others present with global symptoms (fibromyalgia and chronic fatigue syndrome).
Gynaecological Pain Syndromes include Vulvar Pain Syndrome (also termed "Vulvodynia
"), Vestibular Pain Syndrome, Clitoral Pain Syndrome, Dysmenorrhea, and Endometriosis-Associated Pain Syndrome.
However, surprisingly, despite the possible roles of central sensitization and of psychogenic factors such as anxiety or depression in BMS neuropathic pain, it appears that, in persons with BMS, the co-occurrence of other chronic neuropathic pain disorders (central sensitivity syndromes) including fibromyalgia, atypical facial pain, trigeminal neuralgia, temporomandibular joint pain, back pain, and vulvodynia
is rare [15, 33].