II. Definition

  1. Localized Vulvar Dysesthesia (Localized Vulvodynia)
    1. Localized Vulvar Pain without dermatitis
    2. Vulvar Vestibulitis is misnomer and no longer used

III. Epidemiology

  1. Affects premenopausal women most commonly

IV. Etiology

  1. Unknown
  2. Possible causes
    1. Yeast Vaginitis
    2. Chemical irritants
    3. Local destructive therapy (CO2 Laser or Cryotherapy)
    4. Allergic Drug Reactions
    5. Human Papillomavirus

V. Symptoms and signs

  1. Persistent Dyspareunia at introitus
    1. Pain on penis or tampon entry
  2. Focal or diffuse erythema at vestibule
  3. Point tenderness at minor vestibular glands
    1. Swab lightly touched over area causes local pain

VI. Differential Diagnosis

  1. See Vulvodynia for differential diagnosis
  2. Signs active infection suggests other diagnosis
  3. Concurrent dermatitis suggests other diagnosis

VII. Course

  1. Lasts for months to years

VIII. Management

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Ontology: Vulvar Vestibulitis (C0269084)

Definition (MSH) Inflammation of the vulvar vestibular region at the entrance of the VAGINA, generally involving surface mucosa and submucosal vestibular glands. It is characterized by ERYTHEMA and chronic recurrent pain in this area.
Concepts Disease or Syndrome (T047)
MSH D054515
ICD9 625.71
ICD10 N94.810
SnomedCT 30833006
Dutch vulvale vestibulitis
German Vestibulitis der Vulva, Vulvavestibulitis, Vulväre Vestibulitis, Vulvavestibulitis-Syndrom
Italian Vestibulite della vulva, Vestibolite vulvare, Vestibolodinia
Portuguese Vestibulite vulvar, Vestibulite Vulvar
Spanish Vestibulitis vulvar, Vestibulitis Vulvar, vestibulitis vulvar (trastorno), vestibulitis vulvar
Japanese 外陰前庭炎, ガイインゼンテイエン, 腟前庭炎
English Vulval vestibulitis, Vestibulitis, Vulvar, Vulvar Vestibulitis, Vestibulitides, Vulvar, Vulvar Vestibulitis Syndrome, Vulvar Vestibulitides, vulvar vestibulitis, vulvar vestibulitis (diagnosis), Vulvar Vestibulitis [Disease/Finding], vestibulitis vulvar, vulval vestibulitis, Vulvar vestibulitis, Vulvar vestibulitis (disorder)
Finnish Vestibuliitti
French Vestibulite vulvaire, Syndrome de la vestibulite vulvaire
Russian ВУЛЬВЫ ВЕСТИБУЛИТ, ВУЛЬВАРНЫЙ ВЕСТИБУЛИТ, VUL'VARNYI VESTIBULIT, VUL'VY VESTIBULIT
Swedish Vulvavestibulit
Czech Vulvární vestibulitis, vulvární vestibulitida
Polish Zapalenie przedsionka pochwy, Zespół zapalenia przedsionka pochwy
Hungarian Vulva vestibulitis
Norwegian Vestibulitt, Lokalisert provosert vulvodyni, Vulvovestibulitt