National Vulvodynia Association

Since vulvodynia is not simply a gynecological condition, many experts favor a multi-disciplinary approach to its management.

Vulvodynia treatment may involve visiting a:

• gynecologist or vulvovaginal specialist,
• dermatologist,
• neurologist,
• pain management specialist,
• urogynecologist, and/or
• physical therapist.

Also, because vulvodynia typically affects a woman’s sexual relationships and emotional well-being, your provider may recommend a psychologist or couples/sex therapist.

Because we don’t know what causes vulvodynia, treatments are directed towards alleviating symptoms and usually provides moderate pain relief.  Some women experience relief with a particular treatment, while others do not respond or experience unacceptable side effects. 

No single treatment is appropriate for all women with vulvodynia and it may take time to find a treatment, or combination of treatments, that alleviates your pain.

Women with provoked vestibulodynia may be candidates for surgery. Success rates for surgery vary from 60% – 90%.

Current vulvodynia treatments include:

• Discontinuation of Irritants
• Oral “Pain-Blocking” Medications
  • Tricyclic Antidepressants
  • Serotonin-Norepinephrine Reuptake Inhibitors
  • Anticonvulsants
  • Opioids
• Topical Medications
  • Topical Hormonal Creams (e.g., estrogen, testosterone)
  • Topical Anesthetics (e.g., lidocaine)
  • Topical Compounded Formulations (e.g., anticonvulsant, antidepressant)
• Pelvic Floor Muscle Therapy
• Nerve Blocks
• Neurostimulation and Spinal Infusion Pump
• Surgery (for women with Provoked Vestibulodynia)
• Complementary or Alternative Medicine

To read articles on these treatments written by vulvodynia experts, please visit our Newsletter page.