What happens if vulvodynia is not treated?

Vulvodynia is persistent pain or burning in the vulval area without a single obvious cause. Pain may be present all the time or triggered by touch, clothing, sitting, inserting a tampon, or sex. Repeated pain can make the pelvic floor muscles tighten protectively, which may add discomfort and make sexual activity or an examination harder. Avoiding activities can gradually reduce confidence and affect relationships, work, exercise, or sleep. These effects are real, but they do not mean the pain is imagined or that improvement is impossible.

Arrange an assessment with a gynaecology or pain clinician, especially if pain has lasted or is interfering with daily life. The clinician may check for skin irritation, infection, hormonal changes, nerve-related pain, or pelvic-floor tension before suggesting a plan. Options can include gentle vulval care, pain-management approaches, pelvic floor physiotherapy, counselling support, or vaginal dilator therapy when appropriate. Do not force painful penetration or repeatedly use products that sting. Note triggers, pain location, and what eases symptoms so the appointment can be more focused.

Seek prompt medical advice for new or rapidly worsening pain, sores, blisters, unusual discharge, bleeding, fever, or pain with feeling unwell. Sudden severe pelvic pain, fainting, or heavy bleeding needs urgent assessment. A clinician can distinguish vulvodynia from other causes of vulval pain rather than assuming every symptom has the same explanation.

Ask what conditions should be excluded, whether pelvic-floor tension may be contributing, which self-care measures are suitable, and how progress will be reviewed. You can also ask whether pelvic floor physiotherapy or vaginal dilator therapy fits your symptoms and goals.