The loss of estrogen after menopause causes thinning in the walls of the vagina and the urethra and dries vaginal secretions, leading to pain during intercourse. You also may be experiencing vaginal dryness, most common in women over 40 and especially those who are postmenopausal. Studies find some benefits in some women, possibly because it relieves painful inflammation. For severe cases, doctors may inject anti-inflammatory chemicals called interferon alfa into the vulvar vestibule, the folds around the vagina, three times a week for four weeks.
There are many possible treatments for vulvodynia, ranging from diet, Kegels (exercises that strengthen the pelvic floor) and biofeedback, to medical approaches including low doses of antidepressants and lidocaine ointment used at night to numb the vulva.
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Make sure you tell your health care professional you want to be evaluated for vulvodynia in one of the few surveys to look at the issue of diagnosis, only nine percent of women who sought treatment received a diagnosis of chronic vulvar pain the rest were diagnosed as having some form of vaginal or pelvic infection or other condition. One study found that women with VVS have fewer estrogen receptors in the vulvar region, which may relate to their increased pain sensations. Other possible reasons include genital infections, physical or sexual violence, or even women with the condition may have lower pain thresholds than women without. No one really knows what causes it, although some theories suggest it may come on in relation to a particular event, like childbirth, infection or surgery. The pain often prevents women from exercising, having intercourse, and, in extreme cases, even walking. The condition is estimated to affect about 16 percent of women a number some researchers suspect may be much higher.
This common cause of vaginal pain is frequently misdiagnosed. One of the most common causes of painful sex in women is vulvodynia, defined as discomfort or burning pain in the vulvar area with no obvious cause, such as an infection, cancer, or neurologic disorder like herpes or spinal nerve compression. Do other women experience this problem and what can be done about it? I have lost interest in having intercourse with my husband because many times I get a burning sensation. For our most up-to-date information, please visit our vaginal health information here.
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