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    gynaecology

    Vulvodynia (chronic vulval pain)

    Also known as: vulvodynia, chronic vulval pain, burning vulva

    Vulvodynia is chronic pain or burning around the vaginal opening without an obvious cause — it affects sitting, sex and daily comfort. Multidisciplinary care (gynaecology, pelvic-floor physiotherapy, pain management) is the core. Chinese medicine treats liver constraint with damp-heat, heart-spleen deficiency and yin-deficiency patterns for the pain and sensitivity.

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    Lifestyle & Diet

    • •Specialist clinics (gynaecology, pain, pelvic-floor) all contribute — ask for referral.
    • •Pelvic-floor physiotherapy is a proven component.
    • •Cotton underwear; avoid perfumed products.
    • •Support groups reduce the isolation this condition causes.

    Cautions & Contraindications

    See sources
    • •Exclude infection and skin disease before pattern-based treatment.[]

    When to reassess or seek care again

    See sources

    Review at 6 weeks: pain scores, function, sleep. Coordinate with the multidisciplinary plan.

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    Sources & Further Reading

    Clinical guidance, red flags and safety notes on this page draw on the following current sources alongside the classical references above.

    1. Vulvodynia — NHS
      NHS · 2024
    2. Healthdirect Australia
      Healthdirect Australia · 2024
    3. Vulvar disorders — MedlinePlus
      National Library of Medicine · 2024

    Educational reference for licensed practitioners. Not a substitute for individual clinical assessment. Refer to conventional care for any red-flag or undiagnosed presentation.