Vulvar Pain Isn't So Rare
Millions of Women May Have It, Many Think Some Degree of Pain Is Normal.
WebMD News Archive
Jan. 13, 2004 -- Fans of popular show Sex and the City
know it as having a "depressed vagina," thanks to an episode in which
character Charlotte York is prescribed antidepressants to treat her genital
The medical term for the condition, characterized by persistent
pain or burning outside the vaginal area, is vulvodynia, and new research shows
that it is far more common than previously thought.
Instead of a couple hundred thousand cases, an Internet survey
indicates that millions of American women may suffer from vulvar pain. The
implication, says survey author Barbara Reed, MD, is that most are suffering
"Women who seek treatment for this are usually in pretty
severe pain, but those with less severe pain may not even interpret anything as
being abnormal," Reed tells WebMD. "They may think that they are
supposed to feel this way."
For those who need an anatomy refresher course, the term vulva
refers to the outer area of a woman's genital organs. It includes the labia
majora, or large lips; the labia minora, or small lips; the clitoris; and the
openings to the urethra and vagina.
Women with vulvodynia may feel sharp stabbing pain, especially
at the opening of the vagina, or they may feel generalized burning throughout
the area. Pain is typically most intense during intercourse, so it is no
surprise that many sufferers experience a decrease in sexual desire.
In the University of Michigan study, 28% of the 995 women who
responded to the web-based survey reported having had vulvar pain. With 8% of
these saying they have experienced vulvar pain within the last six months. A
total of 3% reported that their pain was chronic lasting three or more
"From this data we extrapolated that roughly 2.4 million
American women have this pain, but the number may be as high as 5 million,"
About one-third of the survey respondents were African
American. Although previous reports show the condition is rare among black
women, the responses indicated that this is not the case. Black women had
similar rates of vulvar pain as women of other races. The survey is reported in
the January issue of the Journal of Lower Genital Tract Disease,