There are cases with vulvar vestibulitis or vulvodynia, where it is suspected that a nerve pains at a fist level of inflammation of the nerves. Vulvar pain can be sensed as a burning and can mean a few different conditions. Vulvodynia basically interprets as pain, but it is not related to a cause of pain. Vulvar pain can be a condition of recurrent chronic yeast vaginitis and vulvitis. Or the pain can be caused by a chronic irritant vulvitis. This condition may indicate at skin subjected to topical or toxic allergens, also a chronic urinary leakage, which can lead to inflaming of the skin of the vulva. The condition produces chronic pain such as lichen sclerosis of vulva vestibulitis. No matter of the condition bacterial inflaming irritates the vulvar skin.
Vaginal intercourse should be avoided while pain still exists, no matter of mild or severe vulvar pain, because any kind of splitting or irritating of vaginal skin can worsen the pain. Even with mild irritation, women should be using lubricants to moist the vaginal walls. Mineral or vegetable oil can be a pretty good lubricant, and bio adhesive vaginal lubricants are very good as well. Even if woman has a vaginal intercourse, there is a great risk to get involuntary contracture of vaginal muscle, which can lead to a serious loss of sexual desire because of pain, and after the menopause it can get worse. There are non vaginal intercourse and several methods of having sex during the pain existing period.
Prevention of External Skin Irritation
Vulvar skin should be moist and that is not causing an inflammation. But if the skin is moist due to sweating or urinating, it can create skin bacteria and cause a secondary dermatitis. Wearing cotton helps the absorbing extra moisture. At that period it is not recommended to wear tight clothes. Also is recommended to avoid crossing legs because that can improve irritation.
Atrophic Vulvar Skin Changes
There is also a vulvar vestibulitis or unknown vulvodynia, where skin does not response as inflamed, but there are nerves involved here. And there are medical therapies and procedural therapies that can be induced in order to ease the pain. The vulvar skin gets very thin and gets irritated or inflamed, especially after the menopause or hypoestrogenic states. It is possible for estrogens to produce more vaginal secret and aid vulvar skin, but yet most topical estrogens do not thick the skin outside the ring of hymen. Testosterone presented in ointment base can thick the skin. If there is a thick and dry skin it is good to discuss that with you doctor, in order to get topical testosterone ointment prescribed on time. There are also topical steroid creams that can thin the skin but it is available only with doctor’s permission.
Reducing the Irritation
There are chemicals that can irritate sensitive skin of vulva. Almost everything, starting with soaps, bubble baths, creams, condom lubricants etc. Using any chemicals is banned. Washing the vulva with water is recommended, after washing just dry it with gentle towel.
Vaginal secretions can have bacteria instead of acid pH. Vaginal secretion can seriously irritate inflamed skin. A tampon can stop secret do not leak outside, in case that vaginal secret creates main problem. It is possible to protect the vulvar skin with ointment based on petroleum. Sometimes Vaseline or a vegetable oil ointment may be better choice, but only if vulva is not too sensitive and irritated.