Yu kin gɛt pen bak na di say we de rawnd di vagina? Lɛ wi tɔk bɔt dis (Vestibulodynia)!

Sɔntɛnde yu kin fil pen ɔ bɔn na di say we yu de go insay yu vagina? Dis pen kin apin we yu de du mami ɛn dadi biznɛs ɔ ivin jɔs we yu stil de. Dis na prɔblɛm we uman dɛn nɔ kin tɔk bɔt bɔku tɛm, bɔt i kin afɛkt bɔku pipul dɛn. So tide wi go tɔk bɔt dis smɔl mɔ .

Wetin na dis (Vestibulodynia)? Lɛ wi ɔndastand am simpul wan?

Fɔ tɔk am simpul wan, vestibulodynia na pen we kin apin na di say we de rawnd di say we yu de go insay yu vagina, we dɛn kɔl vestibule . dis pen kin apin sכmtεm bak na כda pat dεm na di εksternal jεnital εria we de rawnd di vagina, we dεn kכl di vulva . Na pen we kin rili mɔna pɔsin, we kin de fɔ lɔng tɛm. Sɔntɛnde, dɛn nɔ kin ebul fɔ fɛn klia rizin. Yu dɔktɔ kin kɔl dis sik bak vulvar vestibulitis syndrome , ɔ (VVS) fɔ shɔt tɛm.

Naw yu kin de wɔnda wetin na di vulva . na di pat we uman in riprodaktiv sistεm we wi kin si na do. Fɔ tɔk di kɔrɛkt tin, i de protɛkt di ɔgan dɛn we de insay yu bɔdi lɛk yu vagina, yu uterus, ɛn ovaria. I de protɛkt yu urethra bak , we na di tiub we di urine de kɔmɔt tru.

di vulva na εria we rili imכtant fכ yu sεks rεspכns εn כrgazm. I gɛt dɛn pat ya:

• Klitoris we de na di bɔdi
• Di lip dɛn we de insay (labia minora) .
• Di lip dɛn we de na do (labia majora) .
• Di say we de go insay di vagina (vestibule) .

Wetin na di difrɛns bitwin (Vulvodynia) ɛn (Vestibulodynia)?

Dɛn tu nem ya kin mek wi kɔnfyus smɔl, bɔt lɛ wi kip am simpul. Vestibulodynia na wan kayn sik we de ɔnda di big kategori we dɛn kɔl Vulvodynia . Dɛn tu kɔndishɔn ya kin gɛt pen na di vulva eria fɔ no rizin.

Tu men kayn vulvodynia de :

1. Jɛnɛral vulvodynia: Dis na we di pen we de kɔntinyu fɔ de na sɔm say dɛn na di vulva , nɔto jɔs wan.

2. Localized vulvodynia: insay dis, di pen de כnli na wan spεsifi k εria na di vulva . fכ egzampl, pen we yu de go insay di vagina (dεn kכl am vestibulodynia ) כ pen na di klitoris (clitorodynia) . pan dεn wan ya, vεstibulodynia, we kin kכz fכ sכm prεshכn כ prεshכn, na di mכst kכmכn tכp fכ lokalizεd vulvodynia . Wi kin kɔl am provoked vestibulodynia .

Wetin na Provoked Vestibulodynia?

As di nem sho, provoked vestibulodynia na pen we kin apin we prɛshɔn ɔ prɛshɔn de pan yu vestibule. dis prεshכn na in de "provoke" dis krεse pen, we kin las fכ pas tri mכnt. Dis prɛshɔn kin kam bikɔs ɔf tin dɛn lɛk:

• Wan ɛgzam we dɛn kin du na di bɛlɛ we dɔktɔ kin du.
• We yu sidɔm na wan ples fɔ lɔng tɛm.
• We dɛn de du mami ɛn dadi biznɛs.
• We yu wɛr tayt klos (e.g. tayt pant).
• We dɛn put sɔntin insay di uman in vagina, ilɛksɛf na finga, penis, tampon, ɔ tin fɔ du mami ɛn dadi biznɛs .

Imajin, Nimali na pɔsin we de sidɔm na ɔfis fɔ lɔng tɛm ɛvride. Fɔ sɔm dez, i bigin fɔ fil smɔl bɔn na in vagina. Pan ɔl we i nɔ bin bisin bɔt am fɔs, di pen bin de mɔna am afta we i dɔn du mami ɛn dadi biznɛs. I bin so fred dat i nɔ bin ebul fɔ tɛl ɛnibɔdi bɔt dat. Sɔntɛm yu go dɔn gɛt dis sem tin.

Wetin na di kayn Provoked Vestibulodynia?

Tu men kayn dis de bak:

1. Praymari (congenital) provoked vestibulodynia: Dis na we di pen kin apin we yu tray fɔ put sɔntin insay yu vagina fɔ di fɔs tɛm na yu layf (e.g., we yu de du mami ɛn dadi biznɛs fɔ di fɔs tɛm, we yu de tray fɔ put tampon). Dis na wan sik we dɛn bɔn wit , we min se i kin de frɔm we dɛn bɔn am.

2. Sεkɔndari (acquired) provoked vestibulodynia: Insay dis, di pen kin apin de, mɔnt, ɔ ivin ia afta yu bin dɔn ebul fɔ put sɔntin insay yu vagina bifo we yu nɔ bin gɛt ɛni pen. Dis na wan sik wae de kam as tɛm de go.

Aw kɔmɔn tin na di vestibulodynia?

Infakt, dɛn se lɛk wan pan ɛvri 4 uman dɛn go gɛt sɔm kayn vulvodynia , we na pen na di vulva we nɔ gɛt ɛni kɔz. כl di tεm dεm, dis pen kin kכmכt bay we dεn prεshכn כ tכch na do (dεn kכl am " provoked ").

Bɔt di rial nɔmba fɔ di wan dɛn we gɛt di sik kin bɔku pas dat. Sɔm pipul dɛn kin shem fɔ tɔk to dɛn dɔktɔ bɔt dis prɔblɛm. Ɔda pipul dɛn kin tink se dis na sɔntin we dɛn nɔ go ebul fɔ mɛn ɛn dɛn fɔ liv wit am fɔ ɔl dɛn layf. Bɔt nɔto so i bi, tritmɛnt de fɔ dis!

Wetin na di tin dɛn we kin mek pɔsin gɛt vestibulodynia?

Masta sabi pipul dɛn stil nɔ no bɛtɛ bɛtɛ wan wetin kin mek dis apin. Bɔt sɔm tiori dɛn de. Wan na dat sɔm pipul dɛn kin gɛt mɔ pudendal nerves na di vulva . Disdi pudendal nεv dεm na dεn we de sεnd sεns lεk pen εn gladi at to yu nεv sεstem.

Sɔm pipul dɛn kin gɛt wan sik we dɛn kɔl nyuroproliferashɔn (dɛn kin kɔl am bak nyuroproliferativ vestibulodynia ). dis min se dεn pudendal nεv dεm kin rili sεnsitiv. Dɛn kin fil pen pasmak ( hyperalgesia ) ivin we dɛn tɔch dɛn smɔl ( allodynia ). dis nyuroproliferash כn kin bi sכmtin we de de we dεn bכn am כ i kin divεlכp leta bikoz fכ di damej כ iritashכn to di nεv dεm.

Udat de pan ay risk fɔ gɛt vestibulodynia?

Pan ɔl we dis sik kin apin to ɛnibɔdi, i kin apin mɔ pan wayt ɛn Eshia uman dɛn we de du mami ɛn dadi biznɛs bitwin 20 ɛn 40 ia .

Yu kin gɛt dis sik if yu gɛt ɛni wan pan dɛn tin ya:

• Alɛji ɔ sɛnsitiviti to sɔm sop dɛn we gɛt sɛnt, ditajɛn, pantylin, ɛn ɔda tin dɛn.
• Yist infɛkshɔn dɛn we nɔ de dɔn .
• Kɔndishɔn dɛn lɛk fibromyalgia .
• Jɛnɛtik prɛdispɔzishɔn fɔ mek yu gɛt pen we nɔ de dɔn, inflamɛns, ɔ infɛkshɔn.
• (Interstitial cystitis) (blad we de mek yu fil pen).
• Jɔyn pen ɔ mɔskul skel pen .
• Disɔda wae de mɛk pɔrsin fil lɛk pwɛl hat ɔr bipolar disorder .
• di pelvik fכl dεm we de wok fayn , wik כ mכsul dεm we de spam.
• Trauma we kin kam bikɔs dɛn du mami ɛn dadi biznɛs wit pikin (rep) ɔ prɔblɛm dɛn we kin apin we dɛn de bɔn pikin.

Wetin na di sayn dɛm wae de sho se yu gɛt Vestibulodynia?

Vestibulodynia na wan kayn pen we gɛt fɔ du wit di nerve (nyuropatik pen) . Dis pen kin las fɔ at le tri mɔnt. De pen kin de ɔltɛm ɔr kin kam ɛn go (we dɛn kin kɔl intermittent ).

Di men sayn dɛm fɔ vestibulodynia na:

• Bɔn, chuk, ɔ pen lɛk nɛf na di vestibular eria.
• Pen we yu de put sɔntin insay yu vagina, sidɔm, ɔ du tin dɛn lɛk fɔ rɔn, bayk, ɔ rayd ɔs.
• Mami ɛn dadi biznɛs we de mek pɔsin fil pen (dyspareunia) .
• We yu de pis we yu de pis (dysuria) .
• di vestibul εria de sεnsitiv, dray, rεd, εn i de sho lεk sכri .

Us ɔda tin dɛn kin apin wit Vestibulodynia?

Sɔm pipul kin gɛt dɛn tu sik ya wit Vestibulodynia :

• Clitorodynia: Dis na wan kayn lokal vulvodynia bak . I kin bi se i kin gɛt siriɔs pen na di klitoris .
• (Vaginismus): Dis na we yu vagina mɔsul dɛn tayt ɛn kɔntrakt we yu nɔ ivin no ɛnitɛm we yu tray fɔ put sɔntin insay yu vagina.

Aw dɛn kin no bɔt di sik we dɛn kɔl Vestibulodynia?

Nɔr patikyula tɛst nɔr de fɔ no dis. Yu dɔktɔ go tek tɛm lisin to yu sayn dɛn. We yu de du ɛgzam na yu bɛlɛ , yu dɔktɔ go tek kɔtɔn ɛn put prɛshɔn jisnɔ na difrɛn say dɛn na yu vulva , ɛn aks yu aw i de mek yu fil pen.

Yu kin rɔn wan ɔ mɔ pan dɛn tɛst ya bak fɔ si if ɛni ɔda prɔblɛm de, ɔ fɔ mek shɔ se nɔto ɛni wan de:

• Blɔd tɛst dɛn.
• Urinalysis ɔ urine culture tests - Dɛn kin du dɛn tin ya fɔ chɛk fɔ urinary tract infection (UTI) , sistayt , yist infɛkshɔn , ɛn sik ɛn infɛkshɔn we pɔsin kin gɛt we i du mami ɛn dadi biznɛs (STD ɛn STI) .
• Pap smear εn, if nid de , kolposkopi - dεn kin du dis fכ chεk fכ abnכmal sεl dεm na di sεviks (sεvikal displasia) כ sεvikal kεnsar .
• Skin biopsy - fɔ chɛk fɔ sik dɛn na di skin.

Us kayn dɔktɔ dɛn kin trit vestibulodynia?

Ivin if dis kכndyushכn de afekt yu jεnital, i nכ min fכ bi gεnεkכlכjik prכblεm. Yu go nid fɔ go to difrɛn spɛshal pipul dɛn fɔ gɛt tritmɛnt. Dɛn tin ya na:

• Obstetrishan/gaynikɔlɔjis (`Ob/Gyn`).
• Dɔktɔ we de mɛn pipul dɛn we gɛt skin.
• Nyurolɔjis.
• Wan spɛshal pɔsin we de mɛn di pen.
• Pɛlvik flo fizik tɛrapist.
• Saikɔlɔjis, sɛks tɛrapist ɔ kɔpl tɛrapist.
• wan spεshal sistεm na di urinary sistεm εn uman riprodaktiv sistεm (`Urologist` כ `urogynecologist`).

Aw dɔktɔ dɛn kin trit di vestibulodynia?

Di men gol dɛm fɔ tritmɛnt fɔ vestibulodynia na:Fɔ ridyus di pen ɛn kɔntrol di sayn dɛm.

Dis na tritmɛnt dɛn we nɔto mɛrɛsin:

• Di kayn krim dɛm we de mek pɔsin nɔ fil pen ɛn we de mek pɔsin nɔ fil pen (`Anesthetic (numbing) skin creams`).
• Kɔgnitiv bihayvya tɛrapi (CBT) , kɔpl tɛrapi, ɔ sɛks tɛrapi.
• Layf stayl chenj - fɔ ɛgzampul, fɔ wɛr klos we lɔs ɛn kɔtɔn ɔndawea, ɛn nɔ yuz tin dɛn we gɛt sɛnt.
• Pεlvik fכl fכs tεrapi - fכ egzampl, Kegel εksεsayz (pεlvik fכl εksεsayz) εn bayofidbak tεknik dεm.
• Yuz vagina lubrik ɛn vagina dilator.

Di tritmɛnt dɛn we dɛn kin yuz fɔ mɛn pipul dɛn na:

• Di mɛrɛsin dɛn we de mek pɔsin nɔ fil bad .
• Mεdisin dεm fכ εpilepshכn εn nεv pen - fכ egzampl. gabapentin we dɛn kɔl .
• Botulinum toxin injεkshכn (Botox®) .
• Krim dɛn we dɛn kin yuz kɔtikosterɔyd we dɛn kin put pan pɔsin ɔ stɛroyd injɛkshɔn.
• Krim dɛn we gɛt ɔmon we de na do (ɔmon tɛrapi) .
• Nɛv blɔk dɛn .
• Di tin dɛn we de mek pɔsin nɔ fil pen.

Yu tink se dɛn kin mɛn Vestibulodynia if dɛn du ɔpreshɔn?

Sɔm pipul dɛm wae gɛt provoked vestibulodynia wae nɔr dɔn ansa ɔda tritmɛnt kin bɛnifit frɔm ɔpreshɔn fɔ pul di sɛnsitiv skin ɛn tisu dɛm. Dɛn kɔl dis ɔpreshɔn we dɛn kɔl vestibulectomy . Bɔrku tɛm dis kin mek yu nɔr gɛt sɔm kayn sik fɔ ɔltɛm.

Yu tink se dɛn kin mek dɛn nɔ gɛt di sik we dɛn kɔl Vestibulodynia?

If yu fala dɛn step ya fɔ kia fɔ yu vulva , yu kin mek yu nɔ gɛt ɛn ridyus di pen na yu vulva :

• Nɔ yuz tin dɛn we gɛt sɛnt (e.g., uman diɔdɔrant sprɛy, talk paoda, panti layna dɛn we gɛt sɛnt) pan yu jɛnɛral eria.
• Nɔ yuz intravagina kɔntraseptiv (e.g. dayafragm, sɛvikal kap). Dɔn bak, nɔ yuz spermicides ɛn kɔntraseptiv fom, bikɔs dɛn kin mek yu vɛks.
• Afta yu dɔn pis, instead fɔ yuz tɔylɛt pepa, was di say we yu de bɔn wit wata we kɔmɔt na swɛt bɔtul ɔ bidet.
• Yuz tɔylɛt pepa we nɔ blech ɛn sanitayz prɔdak dɛn we nɔ gɛt sɛnt (tampon, pad).
• Sidɔm pan pilo we tan lɛk donut fɔ mek yu nɔ gɛt prɛshɔn pan yu vulva .
• Sok insay hot tub fɔ mek yu nɔ fil pen.
• Wash yu genital eria wit wata nɔmɔ (nɔ sop). Nɔ yuz bɔbul bat, sɔl fɔ was, ɔ ɔyl fɔ was.
• Wear kɔtɔn ɔndawea, pant we lɔs ɔ shɔt. Nɔ wɛr panti, tayt ɔ tayt lɛg.

Wetin na di prɔblɛm dɛn we kin apin we pɔsin gɛt vestibulodynia?

Pen wae de kam wae de kam wit vestibulodynia kin rili nɔr kin fayn ɛn ivin kin mek pɔrsin in layf de pan denja. I kin afɛkt ɛksɛsayz ɛn ivin sidɔm fɔ lɔng tɛm.

Vɛstibulodynia kin mek bak pɔsin nɔ ebul fɔ du mami ɛn dadi biznɛs fayn . Dis kin afɛkt di we aw yu de ɛnjɔy fɔ du mami ɛn dadi biznɛs, ɛn i kin afɛkt yu padi biznɛs ɛn di we aw yu de fil bɔt yusɛf bad bad wan. Yu ɛn yu patna kin bɛnifit if yu tɔk to pɔsin we de mɛn pipul dɛn, lɛk pɔsin we de mɛn pipul dɛn we mared ɔ we de mɛn pipul dɛn we gɛt mami ɛn dadi biznɛs.

Wetin na de luk fɔ pɔrsin wae gɛt vestibulodynia?

Bɔku tɛm, di vestibulodynia kin bɛtɛ as tɛm de go (dɛn kɔl am rɛmishɔn ). כnכfכs, dis vulva pen kin kam bak (dεn kכl am rilaps ). So, i impɔtant fɔ fala yu dɔktɔ in instrɔkshɔn fɔ mek yu nɔ gɛt pen na yu vulva ɛn fɔ mek yu nɔ gɛt bɔku pen.

Ustɛm a fɔ go to dɔktɔ?

If yu gɛt ɛni wan pan dɛn sik ya, yu fɔ rili go to dɔktɔ:

• Abnɔmal vagina dischaj wit bad smel.
• Itching na di genital eria.
• We pɔsin de du mami ɛn dadi biznɛs wit pɔsin we de mek i fil pen.
• We yu de pis we yu de pis.
• Di sayn dɛm fɔ yist infɛkshɔn , urinary tract infection (UTI) , ɔ ɔda infekshɔn.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

I fayn fɔ aks yu dɔktɔ kwɛstyɔn dɛn lɛk dɛn wan ya:

• Wetin mek a bin gɛt dis (Vestibulodynia) ?
• Us kayn Vestibulodynia a gɛt?
• Us tritmɛnt opshɔn dɛn a gɛt?
• A fɔ tink bɔt fɔ tek mɛrɛsin ɔ fɔ du ɔpreshɔn?
• A fɔ no bɔt di sayn dɛn we de sho se a gɛt prɔblɛm dɛn?

Yu tink se vestibulodynia kin kam bikɔs ɔf sik dɛn we pɔsin kin gɛt we i de du mami ɛn dadi biznɛs (STD)?

Nɔ, dɛn nɔ no se vestibulodynia ɛn sik dɛn we pɔsin kin gɛt we i du mami ɛn dadi biznɛs (STD) . Bɔt sɔm STD dɛn lɛk klamidia ɛn gɔnorɛa kin mek yu gɛt di sem kayn sayn dɛn lɛk pen ɛn inflamɛns. So, i impɔtant fɔ go to dɔktɔ fɔ no di rayt tin we mek dɛn gɛt dɛn sik ya ɛn gɛt di rayt tritmɛnt.

Vulva pen we vestibulodynia kin mek na rial tin. Nɔ shem fɔ tɔk to yu dɔktɔ bɔt aw fɔ put yu bɔdi insay yu bɔdi we de mek yu fil pen ɔ we yu de fil pen ɔltɛm na yu vulva . Yu kin gɛt wan sik we dɛn kɔl vestibulodynia., we min se yu kin gɛt wan kayn pen we nɔ de dɔn (vulvodynia) na yu vestibul. Dis vestibular pen kin kam wan wan ɛn fɔ no rizin. Dɛn kin ɛp am wit mɛrɛsin ɛn tritmɛnt dɛn we nɔ gɛt drɔgs.

Di tin dɛn we impɔtant pas ɔl fɔ mɛmba (Take-Home Message) .

Okay, so a op se wetin wi dɔn tɔk bɔt dɔn ɛp yu fɔ mɛmba sɔm pan di impɔtant tin dɛn. Vestibulodynia nɔto sɔntin fɔ shem fɔ.

• Nɔto yu wan: Nɔto yu nɔmɔ gɛt dis prɔblɛm. Bɔku uman dɛn kin sɔfa wit dis sik.
• Dɛn kin no wan tin we kin mek pɔsin fil pen: Pan ɔl we dɛn nɔ kin no di tin we kin mek pɔsin fil pen wantɛm wantɛm, bɔku tɛm dɛn kin no wetin kin mek pɔsin fil pen bay we dɛn tɔk to dɔktɔ ɛn du tɛst.
• Tritmɛnt dɛn de: Dis nɔto sik we pɔsin nɔ go ebul fɔ mɛn. Difrɛn tritmɛnt dɛn de fɔ ridyus pen ɛn mek layf izi.
• Nɔ shem: Nɔ ɛva shem fɔ tɔk bɔt yu wɛlbɔdi ɔ aks fɔ ɛp. Dɔktɔ na pɔsin we de de fɔ ɛp yu.

So, if yu gɛt ɛni wan pan dɛn sik ya, duya go to dɔktɔ fɔ advays. Yu kɔmfɔt ɛn gladi at na layf rili impɔtant to yu.

` Vestibulodynia, Vulvodynia, Vagina Pen, Sekswal Pen, Vulva, Uman dɛn wɛlbɔdi, Provoked Vestibulodynia