Vulvodynia

Vulvodynia is a chronic pain condition that effects the female genital organs, specifically the vulva, labia and entrance of the vagina. This pain may be constant or intermittent and is often brought on or made worse during intercourse- making it not only painful and frustrating but often stressful on relationships.

Possible causes of vulvodynia are considered to be auto-immune, sensitivities to foods and oxalates in urine, infections and neuropathy.

Diagnosis is one of exclusion once all other related disorders are ruled out, and can take some time as not all doctors are aware of this condition.

Western medical treatment is also varied and may consist of various creams, diets, lubrications and injections. One thing that frustrates me is patients that come in upset that their doctor told them it is ‘all in your head’ and to deal with it. It is true that some cases of vulvodynia may have emotional aspects and can be relieved with counselling and bio feedback, however as a statement not backed up with compassion and education, can be detrimental, harsh and unproductive.

Diagnosis in Chinese medicine varies with each patient. Within the Chinese medicine framework, I find most vulvodynia in younger women represents in the liver channel as a ‘stagnation’ in natural flow of blood and energy leading to hypersensitivity. The origin of this seems to be in my experience a state of emotional stress from work, personal life etc or hypersensitivity from food or environmental allergy/sensitivity.

Treatment with Chinese herbal medicine and acupuncture is effective and tailored to the individual. Treatments last for ½-1 hr weekly and symptoms may subside in 2 weeks to 2 months generally.