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Hi Anon,

Here are some ways to possibly treat Vulvodynia: 

Avoid Potential Irritants

It may help to avoid things that could be irritating the vulva. These might include certain soaps, medications, or douches. Here are a few tips:

  • Use dermatologically approved detergent and don’t use fabric softener on panties.
  • Use unscented toilet paper that’s soft and white.
  • Wear 100% white cotton underwear, menstrual pads, and tampons.
  • Avoid getting shampoo on the vulvar area.
  • Avoid perfumed creams or soaps, pads or tampons, and contraceptive creams or spermicides.
  • Avoid hot tubs or pools with lots of chlorine.
  • Rinse the vulva with cool water after urination and intercourse.
  • Avoid foods that make urine more irritating. This may include foods such as greens, beans, berries, chocolate, or nuts.
  • Wear loose-fitting pants and skirts; don’t wear pantyhose.
  • Keep the vulva clean and dry.

Help Ease Pressure

Certain activities put pressure on the vulva.

  • Use a water-soluble lubricant during sex.
  • Avoid activities that put direct pressure on the vulva. This includes bicycling and horseback riding.
  • Sit on a foam rubber doughnut.

Relieve Pain

These steps may help relieve vulvar pain:

  • Soak in lukewarm or cool sitz baths.
  • After intercourse, apply ice or a frozen gel pack wrapped inside a hand towel. 
  • Alternatively, topical heat applied with a heating pad can reduce pain in some women with vulvodynia.
  • Try relaxation techniques.



  • Local anesthetics, such as lidocaine
  • Topical estrogen creams
  • Tricyclic antidepressants
  • Anticonvulsants
  • Nerve blocks
  • Interferon injections


  • Physical therapy, which involves exercise to strengthen pelvic muscles and lessen muscle spasms
  • Biofeedback, which helps you learn to relax vaginal muscles to lessen pain


If you have a type of vulvodynia called vulvar vestibulitis syndrome, your doctor may suggest surgery to remove painful tissue, especially if other options have not brought relief.

Please speak to your doctor about Medications and Surgery in your particular situation.





March 31, 2013 - 12:41pm


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