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Vulvar Vestibulitis Syndrome (VVS)

 

How is vestibulodynia (VVS) treated?


Numerous treatments have been used for vestibulodynia (VVS), including vulvar care measures; topical, oral, and injectable medications, biofeedback and physical therapy, and surgical treatments. Other less proven types of treatment include a low oxalate diet with calcium citrate supplementation, acupuncture, hypnotherapy, topical nitroglycerin, and Botox. Some women experience a great sense of relief just knowing that the pain they are having is real and has a name and is not in their head (as they may have been told by others). It is important to recognize that even with appropriate therapy; vestibulodynia (VVS) does not get better quickly. Also, although we would like our patients to be completely cured, with proper treatment most women with vestibulodynia (VVS) report that they have much less pain but are not completely cured. Also, women who are successfully treated with vestibulodynia (VVS) can still have bad days and it does not mean that the treatment has failed or that they even need more medication. "Good days" and "bad days" are part of the nature of the condition. Finally, although in some patients the pain goes away by itself after 6-12 months, in most, vestibulodynia (VVS) is a chronic disease that will need long term treatment.