Your doctor
will ask you detailed questions and do a physical exam. |
Women with vulvodynia may have to go see several doctors before they find one who is familiar with treating this condition.
Vulvodynia is diagnosed by eliminating other possible causes of vulvar pain. It is important to identify the cause of the pain to determine the best treatment for you.
During your initial visit, your doctor will likely ask questions about your condition and do a physical exam.
Discussing Your Symptoms
One of the best sources of information about your condition is you. Your doctor should be interested in:
- when your symptoms began
- what activities trigger pain
- where and how you experience pain
- other illnesses you have or symptoms or pain you experience
- your history of using antibiotics and other medications
- any accidents or surgery which may have damaged the nerves in your pelvic region
- any skin sensitivities or conditions
- any bladder or bowel symptoms
A Physical Exam
The doctor will do a thorough physical exam of your vulva, looking for swollen glands, irritation and sores. She or he will look for signs of genital infection, such as:
Swabs of the vulva will be sent to a laboratory and tested for signs of infection.
Your doctor will also look for signs of skin conditions, such as lichen sclerosus or contact dermatitis. If there is evidence of a skin condition, you will likely be referred to a dermatologist.
The doctor will touch various areas of your vulva with a swab. This is to identify sensitive areas and test your reflexes, which can help identify nerve or muscle damage.
If your condition allows, your doctor may also do an internal exam, looking for tender areas and signs of infection, for signs of pelvic prolapse and weak points in the pelvic muscles.
