Health Questions and Answers

Question: What is vestibulitis? How is it managed?

Answer:

Vestibulitis is defined as a constellation of symptoms and signs, including entry dyspareunia, vestibular erythema, and vestibular tenderness in the absence of an active dermatosis or disorder that would otherwise explain the findings. Management includes symptomatic relief with 5% lidocaine ointment; tricyclic antidepressants may be helpful. Surgical treatment should only be considered in severe cases that are refractory to medical management.

Reference:   Kaufman RH, Faro S: Benign Diseases of the Vulva and Vagina, 4th ed. St. Louis, Mosby, 1994.

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