Sharp Pain In The Vigina Area – Lorimer Moseley consults with Pfizer Australia, Kaiser Permanente and Providence Healthcare. He has received royalties for Explaining Pain, Explaining Pain Handbook: The Protectometer, Painful Yarn: Metaphors and Stories to Help Understand the Biology of Pain, and Graded Motor Imagery Handbook. He receives speaking fees. Details on request. He is supported by a Principal Research Fellowship from the National Health and Medical Research Council of Australia and his research is supported by a project grant from the National Health and Medical Research Council of Australia.
If your vulva hurts, you’re not alone. About 16% of women have vulvar pain lasting more than three months. They are not nervous or unpleasant. Perhaps they are suffering from a disease called vulvodynia.
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Only people with vulva can develop vulvodynia, but that’s where the disparity ends. The condition occurs in women of all ages and ethnicities, regardless of education, skin type, sexual preference or relationship status.
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The pain can be excruciating and is usually described as stabbing, burning or knife-like. It may occur only when the vulva is stimulated, such as when it is touched by clothing or attempted penetration, or it may be constant. It’s no surprise that vulvodynia can seriously affect a woman’s lifestyle.
About half of our species have a vulva, but surprisingly few people know what or where it is. The vulva refers to the female external genitalia: the vulva, labia, vagina and Bartholin’s glands, which provide natural lubrication for the vagina. It has a rich supply of specialized nerves and brings pleasure when properly stimulated.
The vulva does not extend into the vagina, contrary to common parlance and important art exhibits, from the inside, not the outside.
Putting “-pumpkin” at the end of a word means pain. Vulva means, well, vulva. So vulvodynia literally means “painful vulva.” If you have pain in your vulva anywhere from the clitoris to the anus and from the labia to the inner thighs, and you don’t have an obvious injury or ongoing infection, you have vulvodynia.
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Three in 20 women will develop vulvodynia at some point, and the costs can be significant. Sufferers often have trouble wearing underwear, sitting or using tampons.
Women with vulvodynia often suffer from sexual dysfunction. Some find ways to end their relationships when the pain becomes too much to bear. They may be so ashamed of their condition that they won’t tell their partner or tell them that this is the reason they want to break up.
And in terms of economic costs, extrapolating from a US study, vulvodynia costs Australia A$2 billion a year.
Unfortunately, we don’t know what causes vulvodynia, although we do know some things we don’t know. For example, it was once thought to be the result of a woman having too many sexual partners, but now we know that there is no connection between the two.
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Women with vulvodynia are sensitive to all parts of the body, not just the vulva. They usually have other painful conditions such as irritable bowel syndrome. This means changes in the brain’s information processing centers that cause pain in these women.
Women with vulvodynia also have higher blood levels of inflammatory markers – which are part of the immune response – than those without it. They are more likely to report recurrent thrush infections and STDs. Therefore, some researchers think there is a possible link between previous infections and inflammation.
Inflammation can trigger nerve growth in the vulva area – which may also explain why the vulva becomes hypersensitive in vulvardynia. However, girls can have vulvodynia before reporting thrush, so it’s not that simple.
As with any painful condition psychological factors play a role. However, it is difficult to know whether these problems came before or after the pain. Sexual dysfunction associated with vulvodynia can increase depression, which can lead to further sexual dysfunction, for example. However, some women report symptoms of vulvodynia for the first time after a psychological trauma, such as the death of a parent, partner, or friend.
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Many women have vulvodynia during menopause, suggesting that hormones may play a role. There may also be a genetic component, as women are more likely to develop the condition if someone in their family has or has had it.
If you suspect you have vulvodynia, the first step should be to see your GP and be referred to a gynecologist or vulvar specialist interested in treating painful conditions.
Research to understand vulvodynia is similar to other chronic pain conditions, such as back pain, which means fewer treatment options are available. But your specialist can help you decide which treatment is right for you.
A treatment plan often includes medication, advice on management strategies and referrals to other healthcare professionals such as physiotherapists or psychologists. Methods such as massaging the pelvic floor muscles and training to reduce tension in the area can also help.
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Anecdotally, we know what you can do at home to ease the pain. Many women find relief with a cool pack or a fan directed at their vulva. You can avoid using soap or lotion to clean the vulva; Instead use something like Dermeze without soap or just water.
Make sure you’re well lubricated during sex, but some commercial lubricants can make symptoms worse. Natural alternatives are almond oil and coconut oil.
No woman should have to suffer in silence or feel ashamed of her symptoms. Pelvic Pain Foundation Australia is a great place for more information about vulvodynia and other pelvic pain conditions.
Write an article and join a growing community of over 164,400 academics and researchers from 4,626 institutions. Valinda Riggins Nwadike, MD, MPH – Medical Review by Rachel Nall, MSN, CRNA July 26, 2018
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Vaginal cramps or spasms can feel like strong, painful muscle contractions. Although mild vaginal spasms can be a symptom of menstruation, painful spasms or vaginal cramps that occur outside of menstruation often have an underlying medical cause.
This article discusses some common causes of vaginal spasms, as well as treatment options and when to see a doctor.
Vaginal cramps are a common symptom of menstruation. They occur when the uterus contracts to get rid of the uterine lining.
Although pelvic floor cramping is more common, it is not uncommon to experience cramping in the vagina as well.
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Although doctors expect mild cramping during menstruation, severe pelvic pain and bleeding are not common symptoms of menstruation.
A doctor may prescribe medications such as birth control pills to reduce pelvic pain and discomfort due to menstruation.
There are several causes of dyspareunia, including infection, inflammation, and a history of vaginal or uterine surgery.
During menstruation this tissue contracts and bleeds, but cannot leave the body. This can cause significant pain and cramping.
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If endometriosis develops in the vagina, it can cause cramps in that area. However, some people with vaginal spasms may experience pain. Referred pain means tissue is contracting in other parts of the body, but the person feels pain in the vagina instead.
Pelvic floor disorders are conditions that cause pain, spasms, and other symptoms in the pelvic floor muscles that support the bladder, rectum, and uterus.
In addition to vaginal spasms, pelvic floor disorders can cause constipation, pain during intercourse, and difficulty controlling the flow of urine.
PID is a condition that occurs when an infection of the pelvic organs causes inflammation of the vaginal tissue.
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Uterine fibroids can cause heavy bleeding, vaginal obstruction, pain during intercourse, and a feeling of fullness or pressure in the lower abdomen.
Vulvodynia is a medical condition in which a person experiences pain in the vulva, the external female genitalia, for 3 months or more for no apparent reason.
Vaginal cramps can occur during pregnancy for various reasons. Placenta implantation or changes in uterine cells can cause mild cramping.
Vaginal cramps during the first 20 weeks of pregnancy can indicate a miscarriage if accompanied by bleeding.
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Sometimes vaginal spasms during pregnancy can indicate that labor is approaching. If it occurs before 37 weeks of pregnancy, it is recommended to call the doctor to make sure that the symptoms do not indicate premature labor.
In addition to contractions, vaginal spasms help in changes in the cervix to prepare the body for labor before the due date.
Vaginal spasms shortly before labor may cause sharp or stabbing pains, which may indicate that the uterus is dilating for labor.
While people can expect mild vaginal spasms during menstruation, other cases of vaginal spasms can indicate underlying but usually treatable health problems.
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If a person experiences the following symptoms in addition to vaginal cramps, he should consult a doctor:
If a pregnant woman is concerned about vaginal cramps, especially those that occur along with bleeding, she should consult a doctor.
Although mild vaginal cramps are often a normal symptom of menstruation, severe or recurring cramps may have an underlying medical cause.
A doctor can provide an accurate diagnosis and recommend treatment options for relief
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