Vulvar Vestibulitis Syndrome Treatment

Vulvar Vestibulitis Syndrome (VVS) is a condition that occurs when the vestibular area located at the outer part of the vagina becomes excessively sensitive. Women experiencing VVS may feel pain, stinging, or burning sensations at the vaginal opening during sexual intercourse. This condition, which causes intense pain in patients, is generally associated with infections or vaginal dryness.

What Is Vulvar Vestibulitis Syndrome Treatment?

During sexual intercourse, some women may feel a burning sensation in the area at the vaginal entrance. The pain felt in this region, which forms the lower part of the hymen, can be perceived even with a slight touch. Patients who apply to our clinic describe the pain they experience with expressions such as “It feels like being cut with a knife” or “It’s like there is a wound there and salt is being poured on it.”

How Is Vulvar Vestibulitis Syndrome Diagnosed?

To diagnose vulvar vestibulitis syndrome, a method called the cotton swab test is used during a gynecological examination. A cotton-tipped swab is gently touched to the vestibular area, and whether the patient feels pain is observed. In some examinations, redness may occur in the area, which is due to excessive sensitivity.

What Causes Vulvar Vestibulitis Syndrome?

VVS is generally a sexual health problem caused by infections. The sensitized vestibular area causes women to feel pain and discomfort during sexual intercourse and negatively affects sexual life. This health condition may also develop due to HPV infections.

The most common causes of Vulvar Vestibulitis Syndrome we encounter are as follows:

• Wearing tight jeans

• Fungal infections

• Vaginosis-type infections

• Using scented toilet paper

• Using tampons

• Choosing pads that may cause irritation

• Vaginal douching

What Are the Possible Problems Caused by VVS?

Women with Vulvar Vestibulitis Syndrome may experience sexual reluctance because they feel pain and discomfort during intercourse. As the condition progresses, it may lead to an inability to have sexual intercourse, similar to vaginismus.

How Is Vulvar Vestibulitis Syndrome Treated?

After the diagnosis of vulvar vestibulitis syndrome is established, the treatment process begins. Patients who apply to us state that they feel very intense pain during intercourse; however, after treatment, they report being much happier in their sexual lives.

The treatment process begins with eliminating irritant substances from the affected area. If vaginal infections persist, medication therapy is applied, and the patient can regain sexual health. If complaints continue despite treatment for infection, two types of interventions are considered: non-surgical and surgical.

Non-Surgical Vulvar Vestibulitis Syndrome Treatment

If complaints do not decrease after medication therapy, non-surgical treatments may be considered. In mild infection-related cases, the following methods may be preferred:

• Genital radiofrequency

• Genital carboxytherapy

• Genital PRP

• Genital laser

It should be noted that since each patient has individual needs and diagnoses, the most effective non-surgical method can only be determined after a clinical examination.

Surgical Vulvar Vestibulitis Syndrome Treatment

VVS surgery is a surgical approach used when infection cannot be resolved. The VVS surgery performed by us is not a difficult procedure but requires expertise. The operation takes approximately 25–30 minutes. You can return to your daily life one day after surgery.

During VVS surgery, a thin layer is removed from the area affected by vaginal infection. During our procedures, we send this tissue to our pathology laboratory, providing the opportunity for early diagnosis of any potential sexual health problems.

For women experiencing loss of desire due to sensitivity, we recommend sexual therapy. Patients whose physical treatment is completed can easily return to their previous levels of sexual desire with sexual therapy and experience a much more comfortable and happy relationship.

What Are the Costs of Vulvar Vestibulitis Syndrome Treatment?

The cost of Vulvar Vestibulitis Syndrome treatment varies depending on the techniques applied. For detailed information about the steps to be followed during your treatment and the costs of these procedures, you can visit our clinic. You can safely plan your examination and treatment process with our physicians, who carefully monitor your needs. With the treatments we apply, definitive solutions can be achieved.

Vulvar Vestibulitis Syndrome Treatment in Ankara

Those who experience such health problems can contact us. We have different personalized techniques developed specifically for treatment. These techniques have been presented and accepted in various countries around the world. We determine the most suitable treatment approach together with you during our consultations and plan your treatment process accordingly.

You can make an appointment by calling our clinic for Vulvar Vestibulitis Syndrome treatment in Istanbul and Ankara.

What Is Vulva Vestibulitis Syndrome?

Vulva vestibulitis syndrome is a chronic condition characterized by pain and sensitivity at the entrance of the vulva. Due to hypersensitivity of the small nerve endings in this area, sexual intercourse, tampon use, or even simple touch can cause pain. Vulva vestibulitis syndrome is a distressing condition that can significantly affect women’s sexual and daily lives.

Symptoms and Diagnostic Methods of Vulva Vestibulitis Syndrome

The most common symptoms of vulva vestibulitis syndrome include:

• Burning, stinging, or sharp pain at the entrance of the vulva

• Severe pain during sexual intercourse

• Pain with tampon use or light touch

• Redness, swelling, or tenderness in the area

Diagnostic methods include:

• Medical history and physical examination: The doctor evaluates symptoms and medical history and performs a physical examination.

• Vulvar biopsy: Tissue samples may be taken to rule out other vulvar diseases.

• Provocation test: Pain triggered by pressure or touch helps confirm the diagnosis.

• Imaging tests: CT or MRI may be used to investigate underlying causes.

Causes of Vulva Vestibulitis Syndrome

Although the exact cause is not known, the following factors may play a role:

• Infections (recurrent fungal or bacterial infections)

• Hormonal changes (childbirth, menopause, birth control pills)

• Trauma (surgical procedures, birth injuries, intense sexual activity)

• Stress

• Immune system disorders

• Genetic predisposition

Vulva Vestibulitis Syndrome Treatment Methods

Various methods can be used to treat vulva vestibulitis syndrome, depending on individual needs:

• Topical treatments:

  • Steroid creams

  • Local anesthetic creams

  • Estrogen creams

• Oral medications:

  • Anticonvulsants for nerve pain

  • Antidepressants to reduce pain perception and stress

  • Hormone replacement therapy

• Physical therapy and rehabilitation:

  • Muscle relaxation exercises

  • Biofeedback

  • Electrical nerve stimulation

• Surgical treatments:

  • Vestibulectomy

  • Laser treatment

• Psychological support:

  • Cognitive behavioral therapy

  • Sexual therapy

A combination of these approaches may be used. Your doctor will determine the most appropriate treatment plan based on your individual condition and needs.