The vulva is the outer part of the female genitals. It includes labia majora, labia minora, clitoris, and opening of vagina or vestibule. Chronic vulvar pain is the pain and discomfort in the vulva that lasts for three months or more.
- SIGNS AND SYMPTOMS OF CHRONIC VULVAR PAIN
- CAUSES OF CHRONIC VULVAR PAIN
- PATHOPHYSIOLOGY OF CHRONIC VULVAR PAIN
- DIAGNOSIS OF CHRONIC VULVAR PAIN
- TREATMENTS FOR CHRONIC VULVAR PAIN
- PROGNOSIS OF CHRONIC VULVAR PAIN
- COMPLICATIONS OF CHRONIC VULVAR PAIN
- CHRONIC VULVAR PAIN AND AYURVEDA
- NIDANA- AYURVEDIC CAUSES OF CHRONIC VULVAR PAIN
- PURVAROOPAM- AYURVEDIC PREMONITORY SYMPTOMS OF CHRONIC VULVAR PAIN
- SAMPRAPTI – AYURVEDIC PATHOGENESIS OF CHRONIC VULVAR PAIN
- LAKSHANA- AYURVEDIC SIGNS AND SYMPTOMS OF CHRONIC VULVAR PAIN
- AYURVEDIC PROGNOSIS OF CHRONIC VULVAR PAIN
- CHIKITSA- AYURVEDIC TREATMENT FOR CHRONIC VULVAR PAIN
- AYURVEDIC SAMANA TREATMENT FOR CHRONIC VULVAR PAIN
- COMMONLY USED AYURVEDIC MEDICINES FOR CHRONIC VULVAR PAIN
- HOME REMEDIES FOR CHRONIC VULVAR PAIN
- DIET AND BEHAVIOUR FOR CHRONIC VULVAR PAIN
- YOGA FOR CHRONIC VULVAR PAIN
SIGNS AND SYMPTOMS OF CHRONIC VULVAR PAIN
- Throbbing pain
- Itching
- Burning pain
- Pain during sexual intercourse
- Soreness
CAUSES OF CHRONIC VULVAR PAIN
- Injuries
- Infections
- Irritants
- Allergy
- Hormonal changes
PATHOPHYSIOLOGY OF CHRONIC VULVAR PAIN
The pathophysiology of chronic vulvar pain depends on the specific causative factor. The chronic vulvar pain due to infections may also transmit through sexual intercourse. Lymphocytic and neutrophilic inflammatory reactions are taking place. Falling in the level of hormones is the root cause of chronic vulvar pain.
DIAGNOSIS OF CHRONIC VULVAR PAIN
- History taking
- Physical examination
- Laboratory investigations
- Hormonal assays to find out the estrogen level
TREATMENTS FOR CHRONIC VULVAR PAIN
- Antibiotics for associated infections
- Topical medications like pain-relieving ointments
- Treatment for underlying pathology
PROGNOSIS OF CHRONIC VULVAR PAIN
- Prognosis is based on the cause of chronic vulvar pain and the condition of the patient.
- The undiagnosed or untreated chronic vulvar pain leads to complications
COMPLICATIONS OF CHRONIC VULVAR PAIN
- Painful sexual intercourse may lead to sexual dysfunction
- Relationship problems
- Anxiety or depression
- Disturbed sleep
CHRONIC VULVAR PAIN AND AYURVEDA
- In Ayurveda,chronic vulvar pain is managed based on the “yoni vyapat and apanavata chikilsa”
NIDANA- AYURVEDIC CAUSES OF CHRONIC VULVAR PAIN
- Excess vitiation of vata dosha
- Ununctuous foods
- Agantu factor – infection, injuries, irritants
PURVAROOPAM- AYURVEDIC PREMONITORY SYMPTOMS OF CHRONIC VULVAR PAIN
- Yoni sula – pain in the vulva
SAMPRAPTI – AYURVEDIC PATHOGENESIS OF CHRONIC VULVAR PAIN
Chronic vulvar pain is considered an agantuja vyadhi, when it is caused by an infection etc. When the microorganism enters the body the doshas are vitiated, which further vitiates the rakta, mamsa dhatus and produces the symptoms. It can be also called “yoni sula”, here excess vitiation of vata dosha occur in the vulva.
LAKSHANA- AYURVEDIC SIGNS AND SYMPTOMS OF CHRONIC VULVAR PAIN
- Yoni sula – vulvar pain
- Yoni kandu – itching
- Daha – burning sensation
- Maidhuna asahishnutha – painful sex
AYURVEDIC PROGNOSIS OF CHRONIC VULVAR PAIN
- Sadya roga – symptoms are manageable with Ayurvedic medicines
CHIKITSA- AYURVEDIC TREATMENT FOR CHRONIC VULVAR PAIN
AYURVEDIC SAMANA TREATMENT FOR CHRONIC VULVAR PAIN
- Treatment for vitiated rakta and mamsa dhatu and vata dosha
- Triphala guggulu
- Madhusnuhi rasayana
- Pushyanuga churnam
- Asokarishtam
- Kanasatahwadi kashayam
- Musalikhadiradi kashaya
- Yoni pichu – with dhanwanthara taila, ksheerabala taila
COMMONLY USED AYURVEDIC MEDICINES FOR CHRONIC VULVAR PAIN
Internal administration
- Triphala guggulu
- Madhusnuhi rasayana
- Pushyanuga churnam
- Asokarishtam
- Kanasatahwadi kashayam
- Musalikhadiradi kashaya
HOME REMEDIES FOR CHRONIC VULVAR PAIN
- Intake of appropriate quantity of water
DIET AND BEHAVIOUR FOR CHRONIC VULVAR PAIN
- Avoid food items that produce dosha imbalance like sour, acrid and dry food, hard to digest. Because dosha imbalance aggravates the symptoms.
- Proper hygiene
- Take proper rest.
- Consume a balanced diet
YOGA FOR CHRONIC VULVAR PAIN
- Nadi Shuddi Pranayama – gets relief from irritations associated with chronic vulvar pain and provide overall immunity
The patient needs to be seated in a meditative posture with the head and spine erect, and the body relaxed. The patient has to close one nostril (e.g. left nostril if using the right hand and vice versa) with the thumb and exhale completely through the other nostril. Again, he will have to breathe in deeply through the other nostril while the opposite nostril is still closed with the thumb.
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Writer:
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