Vaginal Disorders

To diagnose a noninflammatory vaginal disorder, your healthcare provider will likely begin by asking about your symptoms and medical history. A physical examination may include an assessment of the vulva and vagina, and in some cases, further tests like a pelvic ultrasound or skin biopsy may be necessary.

Treatment for noninflammatory vaginal disorders will depend on the underlying cause and the severity of your symptoms. Common treatment options include:

1. Hormonal Therapy: For conditions like vaginal atrophy and genitourinary syndrome of menopause, estrogen therapy (in the form of creams, rings, or oral medications) can help restore moisture, elasticity, and comfort to vaginal tissues.
2. Topical Treatments: Over-the-counter or prescription lubricants and moisturizers can alleviate vaginal dryness and discomfort during intercourse. These treatments help hydrate the vaginal tissues and reduce irritation.
3. Pelvic Floor Physical Therapy: For conditions like vulvodynia and dyspareunia, pelvic floor physical therapy may help address muscle tightness, nerve irritation, or pelvic floor dysfunction. This therapy can improve blood flow and reduce pain during intercourse.
4. Pain Management: Medications such as topical anesthetics, pain relievers, or nerve-blocking medications may be recommended for conditions like vulvodynia. Your doctor may also suggest desensitization techniques to help manage pain.
5. Avoiding Irritants: For conditions like lichen sclerosus, avoiding irritants such as harsh soaps, scented products, and tight clothing can help reduce discomfort. Steroid creams are often prescribed to reduce symptoms and prevent skin changes.