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Pudendal Neuralgia - Vulvodynia


Diagnosis & Tests

How is the condition diagnosed?

Before a diagnosis of this condition can be made, treatable causes of pain in the vulva must be ruled out. A history and physical exam are first done. Several steps may be involved to rule out other conditions. The healthcare provider may:

  • take swabs of the vulva to check for infections
  • suggest that the person stop using soap, fabric softeners, scented toilet paper, and any feminine products to make sure there is no allergic reaction causing the pain
  • prescribe certain medications, such as topical drugs or antibiotic pills, to treat a possible underlying infection
  • take a biopsy of the vulva. This is a procedure to remove a small piece of tissue from the vulva. This tissue can then be looked at with a microscope.
  • If these tests and procedures do not reveal a cause for the pain, vulvodynia is generally diagnosed.


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