Preparing for a Vulvodynia Specialist Appointment
Vulvodynia is chronic pain or burning of the vulva without visible pathology, and many patients experience years of misdiagnosis or dismissal as psychological. A specialist needs detailed pain characterization, triggers, sexual impact, and understanding of previous investigations to recommend appropriate pain management and pelvic floor therapy.
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What to tell your doctor
- 1Pain location: vulva, vestibule, clitoris, general, or variable
- 2Pain quality: burning, rawness, soreness, stabbing, or other
- 3Pain severity on a scale
- 4Constant vs. provoked pain (triggered by touch, intercourse, or activities)
- 5When pain started and whether it is improving or worsening
- 6Whether pain affects intercourse, tampon use, or daily activities
- 7Previous investigations: cultures, biopsies, imaging
- 8Previous treatments tried: topical medications, antidepressants, nerve blocks
- 9Psychological impact: anxiety, depression, sexual dysfunction
- 10Sexual function and relationship impact
Questions to ask your doctor
- Q1.Do I have provoked vestibulodynia or generalized vulvodynia?
- Q2.Are there underlying causes like infection or dermatitis?
- Q3.Should I see a pelvic floor physical therapist?
- Q4.What treatments are recommended?
- Q5.Are topical or systemic medications helpful?
- Q6.Should I see a psychologist?
- Q7.How can I manage sexual activity?
- Q8.Is this condition permanent?
Don't forget to bring
- ✓Pain diary with location, severity, triggers
- ✓Documentation of impact on sexual function
- ✓Previous test results: cultures, biopsies
- ✓List of treatments tried and response
- ✓Information about relationships and sexual history
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