Vulvar Vestibulitis Syndrome is the inflammation of the area called vestibulum in the external genital area of women, in the entrance area of the vagina, adjacent to the hymen
. There are three characteristic findings in Vulvar Vestibulitis Syndrome:
1. Severe pain that occurs with vestibular touch or attempts to enter the vagina.
2. Tenderness due to pressure localized in the vulvar vestibule.
3. Physical findings limited to varying degrees of vestibular erythema (redness)
This syndrome is a chronic disease. Causes include;
-Chronic or recurrent candidiasis (fungus)
-HPV infections (warts, condyloma accuminatum and other HPV infections)
-Recurrent vaginal bacterial infections
-Trauma
-Vaginal PH changes
-Irritants (soap, detergents, showers, deodorants)
-Idiopathic (cause is known If there is an infection at the root of vulvar vestibulitis syndrome, it should be treated first. Essentially
If it is a vulvar vestibulitis condition seen with HPV, alpha interferon may be effective.
Medical treatment will be effective in chronic recurrent candidiasis (fungal).
Patients are given topical treatment. If there is no benefit from medical treatment, surgical treatment can be applied.
75-90% of the patients get relief from surgical treatment. In surgical treatment, the problematic area at the vaginal entrance is surgically removed.
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