Vulvar Vestibulitis Syndrome

Vulvar vestibulitis syndrome (VVS), vestibulodynia, or simply vulvar vestibulitis, is vulvodynia localized to the vulvar vestibule. It tends to be associated with a highly localized 'burning' or 'cutting' type of pain. Until recently, 'vulvar vestibulitis' was the term used for localized vulvar pain: the suffix '-itis' would normally imply inflammation, but in fact there is little evidence to support an inflammatory process in the condition. 'Vestibulodynia' is the term now recognized by the International Society for the Study of Vulvovaginal Disease. Vulvar vestibulitis syndrome (VVS), vestibulodynia, or simply vulvar vestibulitis, is vulvodynia localized to the vulvar vestibule. It tends to be associated with a highly localized 'burning' or 'cutting' type of pain. Until recently, 'vulvar vestibulitis' was the term used for localized vulvar pain: the suffix '-itis' would normally imply inflammation, but in fact there is little evidence to support an inflammatory process in the condition. 'Vestibulodynia' is the term now recognized by the International Society for the Study of Vulvovaginal Disease. Vulvar Vestibulitis Syndrome (VVS) is the most common subtype of vulvodynia that affects premenopausal women. The syndrome has been cited as affecting about 10% to 15% of women seeking gynecological care. VVS is characterized by severe pain with attempted penetration of the vaginal orifice and reports of tenderness with pressure within the vulval vestibule. Usually there are no reports of pain with pressure to other surrounding areas of the vulva. The feelings of irritation and burning can persist for hours or days following sexual activity, engendering a sense of hopelessness and depression. VVS also can often cause dyspareunia. The pain may be provoked by contact with an object, such as with the insertion of a tampon or penis or with the pressure from sitting on a bicycle seat, provoked vestibulodynia, or it may be constant, as in the case of unprovoked, generalized vestibulodynia. Some women have had pain since their first penetration (primary vulvar vestibulitis) while some have had it after a period of time with pain-free penetration (secondary vulvar vestibulitis).