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The Hunger Project Bolen Report
Ohm Society
Essential Vulvodynia Print E-mail

Dr. Kennedy Essential vulvodynia is a seemingly minor disease of major consequence for a woman's quality of life, it is a condition of unknown cause without a proven mode of treatment. It is chronic, diffuse, unremitting sensation of burning of the vulva - (the female external genital organs including the labia, clitoris, and entrance to the vagina) - a painful sensation which may extend to the perineum, thigh or buttock and is often associated with discomfort in the urethra and rectum. Vulvodynia means, literally, "painful vulva." Essential vulvodynia occurs primarily in postmenopausal women. There are no reliable data on the prevalence of essential vulvodynia. The pain is quite variable. It can vanish as suddenly as it begins. The main finding demonstrable on a medical physical examination is hyperesthesia (extreme sensitivity). There is some evidence that damage to the nerves, particularly the pudendal nerve, supplying this area may play a role. The outlook without treatment or spontaneous remission may be for unceasing pain. Rarely, frequency of urination, stress incontinence, and chronic constipation may also develop. Many treatments have been tried. These include drugs such as amitriptyline (Elavil), nerve blocks (to numb the vulvar nerves), decompression of the pudendal nerve, and biofeedback therapy (to relax pelvic muscles). At present there is insufficient evidence to document any benefit from amitriptyline or pudendal nerve decompression for women with essential vulvodynia. This author suspects mercury damage to afferent nerves and favors toxic heavy metal detoxification as treatment. Immediate relief is often achieved using a simple hot bath.

The information in this article is not meant to be medical advice.�Treatment for a medical condition should come at the recommendation of your personal physician.

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