![]() This tissue covers the clitoris, which lies just beneath the hood. The labia minora come together at the top of the vulva to form the clitoral hood. During urination, the labia minora function to direct the urine stream in a more or less single direction by forming a curtain on either side of the urethra. During sexual arousal, they swell and moisten with extracellular fluid. They are rich in nerve endings and are usually very sensitive to touch. After a pregnancy, they are thicker and more prominent. In women who have not had a baby, they are very thin and are usually hidden, to some extent, by the labia majora. Just inside the labia majora are the smaller lips, the labia minora. They each contain a Bartholin gland, which is usually not noticed but occasionally causes some problems. These are large, fleshy pads that cover the bony pubic rami. The larger lips, labia majora, extend from the mons pubis to the rectum. The vulva may develop conditions both benign and malignant, symptomless, annoying, or even disabling. These may influence the type and course of infections in this area. Because of the close proximity of the rectum, intestinal bacteria (anaerobes and coliforms) are more or less constantly present to some degree. February 8, 2012.The vulva is a portal for a variety of functions (reproductive and excretory) and has a unique role in sexual feelings and function.īecause it is covered with both dry, squamous skin and moist mucous membrane, it is subject to diseases affecting both. The Low Oxalate Diet and Vulvodynia: How a Case Report Becomes Snake Oil.Oral Desipramine and Topical Lidocaine for Vulvodynia: a Randomized Controlled Trial. Vaginal Microbiome Is Associated With Vulvodynia, Vulvar Pain Syndrome: A Case-Control Study. Eunice Kennedy Shriver National Institute of Child Health and Human Development. What Are the Treatments for Vulvodynia? Eunice Kennedy Shriver National Institute of Child Health and Human Development.What Causes Vulvodynia? Eunice Kennedy Shriver National Institute of Child Health and Human Development. ![]() What Is Vulvodynia? National Vulvodynia Association.American College of Obstetricians and Gynecologists. Vulvodynia: Frequently Asked Questions.Some practitioners recommend dietary reduction or elimination of certain foods that contain oxalates or linoleic acid but there are no clear studies that confirm these benefits. While there may not be a lot of evidence to show effectiveness, it may be worth discussing with your doctor whether these techniques make sense for you. In addition to home remedies, some studies suggest that low-risk modalities such as yoga and acupuncture may be helpful in reducing pain from vulvodynia. Take 5- to 10-minute sitz baths in warm water, then moisturize the area with a thin layer of petroleum jelly.Avoid exercises or activities that put pressure directly on the vulva, such as bicycling and horseback riding.Apply cool packs to the vulvar area to reduce pain and itching.Use lubrication during sex (but avoid lubricants with flavor or those that produce a warming/cooling sensation).Clean the vulva with water only (avoid vaginal wipes, deodorants, bubble baths, and scented soaps).Avoid tight-fitting underwear, pantyhose, and pants.If you have vulvodynia, avoiding products that may be irritating to the area may help to reduce or relieve symptoms. There are a number of steps you can take at home to help ease vaginal or vulvar pain. Lifestyle, Alternative, and Complementary Therapies Injectable nerve blocks with steroids or anesthetics.Oral medications to help block pain signals to the brain, including tricyclic antidepressants, serotonin-norepinephrine reuptake inhibitors, and certain anticonvulsants.Hormonal creams, such as estrogen or testosterone. ![]()
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