VULVODYNIA… The problem exists here!


  • Nazli Hameed


A case of vulvodynia is being reported here.  This is a frustrating disorder affecting young women.  A 36 years old lady initially being treated non-specifically for vulval pain, dysparunia and vaginal discharge, for several months was investigated in the gynaecology unit of Combined Military Hospital, Rawalpindi.  Examination was possible only under anaesthesia and biopsy report confirmed Erosive lichen Planus.  After dermatological consultation she responded well to steroids.  She was counselled about the risk of recurrence and small risk of malignancyKey words: Vulvodynia,  Lichen planus


. Gaitonde P, Rostron J, Longman L, Field EA. Burning mouth syndrome and vulvodynia coexisting in the same patient: a case report. Dent Update 2002;29(2):75-6

Fischer M, Taube KM, Marsch WC. Vulvodynia. Hautarzt 2000 ;51(3):147-51

Reid WMN. Vulvodynia. Pace 1997. Review no. 97/04:57-60

Metts JF. Vulvodynia and vulvar vestibulitis: challenge in diagnosis and management. Am Fm Physician 1999 ;59(6):1547-56, 1561-2

Lubbe J, Valiton A, Pedrazetti P, Arechalde A, Harms M. Vulvodynia and factitious urticaria. Ann Dermatol Venereol 2000 ;127(4):377-9

McKay M, Frankman O, Horowitz BJ. Vulvar vestibulitis and vestibular papillomatosis. J Reprod Med 1991; 413-5

Davis GD, Hutchison CV. Clinical management of vulvodynia. Clin Obstet Gynecol 1999 ;42(2):221-33

Masheb RM, Nash JM, Brondolo E, Kerns RD. Vulvodynia: an introduction and critical review of a chronic pain condition. Pain 2000 ;86(1-2):3-10

McKay M. Vulvodynia versus pruritis vulvae. Clinic Obstet Gynecol 1985 ;28(1):123-33

Newman DK. Pelvic disorders in women:chronic pelvic pain and vulvodynia. Ostomy Woung Manage 2000 ;13(3):210-2

Sadownik LA. Clinical profile of vulvodynia patients. A prospective study of 300 patients. J Reprod Med 2000 ;45(8):679-84

Tschanz C, Salomon D, Sharia A, Masouye I, Vecchietti GL, Harms M. Vulvodynia after CO2 Laser treatment of the female genital mucosa. Dermatology 2001;202(4):371-2

Raiteri R, Sinicco A, Pippione M, Tomasini C, Solaroli C, Vitale L, et al. Vulvodynia and HIV: causal or casual association? Genitourin Med 1997 ;73(6):1684-96; discussion 1696-701

O’Hare PM, Sherertz EF. Vulvodynia: a dermatologist’s perspective with emphasis on an irritant contact dermatitis component. J Womens Health Gend Based Med 2000 ;9(5):565-9

Shafik A. Pudendal canal syndrome as a cause of vulvodynia and its treatment by pudendal nerve compression. Eur J Obstet Gynecol Reprod Biol 1998 ;80(2):215-20

Fischer M, Marsch WC. Vulvodynia: an indicator or even an early symptom of vulvar cancer. Cutis 2001 ;67(3):235-8

Graziottin A, Castoldi E, Montorsi F, Salonia A, Maga T. Vulvodynia: the challenge of “unexplained” genital pain. J Sex Marital Ther 2001 ;27(5):503-12

Edwards L, Mason M, Phillips M, Norton J, Boyle M. Childhood sexual and physical abuse. Incidence in patients with vulvodynia. J reprod Med 1997 ;42(3):135-9

De Bibilovsdy C. Vulvodynia. Presse Med 2000 17;29(21):1191-6

Bohl TG. Vulvodynia and its differential diagnoses. Semin Cutan Med Surg 1998 ;17(3):189-95

Walsh KE, Berman JR, Berman LA, Vierregger K. Safety and efficacy of topical nitroglycerin for treatment of vulvar pain in women with vulvodynia: a pilot study. J Gend Specif Med 2002;5(4):21-7

Bates CM, Timmins DJ. Vulvodynia –new and more effective approaches to therapy. Int J STD AIDA 2002 ;13(3):210-2

Stolar AG, Stewart JT. Nortriptyline for depression and vulvodynia. Am J Psychiatry 2002 ;159(2):316-7

Reed BD, Haefner HK, Punch MR, Roth RS, Gorenflo DW, Gillespie BW. Psychosocial and sexual functioning in women with vulvodynia and chronic pelvic pain. A comparative evaluation. J Reprod Med 2000;45(8):624-32

Slowinski J, Mutimodal sex therapy for the treatment of vulvodynia: a clinician’s view. J Sex Marital Ther 2001;27(5):607-13

Reid R, Omoto KH, Precop SL, Berman NR, Rutledge LH, Dean SM, et al. Flashlamp-excited dye laser therapy for idiopathic vulvodynia is safe and efficacious. Am J Obstet Gynecol 1995;172(6):1684-96; discussion 1696-701

Powell J, Wojnarowska F. Acupuncture for vulvodynia. J R Soc Med 1999 ;92(11):579-81

Glazer HI. Dyesthetic vulvodynia. Long term follow up after treatment with surface electromyography-assisted pelvic floor muscle rehabilitation. J Rep Med 2000 ;45(10):798-802

Wade M. Support group helps women with vulvodynia. Nurs N Z 2000 ;29(2);75-6