Vulvodynia

Also called Vulval pain syndrome or Vestibulodynia

Vulvodynia is persistent pain in the vulva, the area around the outside of the vagina, that lasts 3 months or more without an obvious cause. The pain may be there all the time, or only when the area is touched, such as during sex, using tampons or sitting. The cause is not fully understood, but it may be linked to irritated nerves.

Last updated Nov 9, 2026

What it is

Treatments include gentle skin care, numbing gels, medicines for nerve pain, pelvic floor physiotherapy and talking therapies.

Different treatments work for different people, so it can take time to find what helps.

Common signs

  • Burning, stinging or throbbing pain in the vulva
  • Pain during sex or when using tampons
  • Pain when sitting for a long time
  • Pain when the area is touched

How it is usually diagnosed

  • Questions about symptoms
  • Examination, including a gentle cotton swab test
  • Swabs to rule out infection

Records worth keeping

Keeping these together makes each appointment easier, especially when you see a new doctor:

  • GP or gynaecology notes
  • Swab results
  • Physiotherapy notes
  • Pain clinic letters
  • Medicine lists

Questions to ask your doctor

  • Could there be another cause for the pain?
  • Which treatments might help?
  • Can I be referred to a pelvic floor physiotherapist?

When to get help right away

Call 112 or go to the nearest emergency department if you have:

  • Thoughts of harming yourself: get urgent help, call 112 if in danger

This page is general information. It is not a diagnosis and does not replace a doctor who knows your history. Medfold keeps your records organised; it does not interpret them.

Sources