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Treatment options for vulvar vestibulitis

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I'm 23, in a committed relationship, though a fairly new one. I was diagnosed with vulvar vestibulitis several years ago; since then it's been a parade of new symptoms and reactions to medications (like that time the yeast medication made the itching worse, that was awesome).

Right now, I've started using an estrogen+testosterone cream topically on the vulva, twice a day, and also went off oral birth control. At first there was lots of itching, and I used boric acid, which made it go away pretty quickly. Now I itch again, and my labia majora feel rather swollen. I took a look down there, and they appear more wrinkled and generally bumpy than usual. It doesn't look like there are any bumps sitting on the skin, though; the texture of the whole thing has changed a bit. The itchy, swollen areas are slightly pinker than the surrounding skin, and I have fairly heavy white discharge (although that's been nearly constant for the last two years).

What could be causing this?


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replied November 30th, 2009
Sexual Health - Women Answer A8088
Vulvar vestibulitis is a condition that describes inflammation of the starting closer part of the vulva. It does not say what caused it. It might be caused by bacteria or fungi. A vaginal swab and subsequent microscopic examination would easily detect the exact cause. Furthermore, an antibiogram would determine the most effective antibiotic if the vulvar vestibulitis is caused by bacteria.


The pinker parts of the skin, as well as the bumpy and wrinkled texture are caused solely by the inflammation. The white discharge might be found in bacterial infection, although similar discharge might be found when it is caused by yeast. The problem is that the antibiotics that should be prescribed only for bacterial infections might worsen the condition if it is actually caused by fungi, because they would also kill the normal vaginal bacteria and provide the fungi with enough free space to multiply.


You might want to visit your gynecologist again about a vaginal swab and treatment options.


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