Extra Ddx Notes

Vulvodynia A chronic condition involving burning vulvar pain. Other sensations may include stinging, irritation, and rawness in certain spots or of the entire vestibule. Low dose antidepressants are often prescribed as treatment. Unknown etiology. Vestibulitis Another condition with an unknown etiology. Involves acute and chronic inflammation of the vestibular glands lying just inside the introitus, near the hymenal ring. Glands between the 4 o'clock and 8 o'clock positions are most often affected. Suspect when intercourse or tampon insertion becomes newly painful. Areas affected may appear as small reddended patches which can be touched with a moist cotton tipped swab to recreate the pain (Q-tip test). Also treated with low dose tricyclic antidepressants, or even surgical removal of the vestibular glands.