To get to the bottom of vulvodynia pain, women should receive a full gynecological examination that includes a visual, sensory, and internal inspection to see if there is any other reason for the pain -- infection, injury or skin dermatitis -- and to isolate the affected anatomy. The approach to evaluating vulvodynia pain takes an expert who is sensitive and knowledgeable in the nuances of vulvar conditions.Visual inspection. Here the doctor examines the area, preferably with a colposcope, a magnification device that improves visualization, for changes in the structure and pigment of the vulva and to identify any growths, inflammation, scarring, or cracks in the skin.
Sensory inspection. During the sensory test, the doctors uses a moistened cotton swab to touch single areas on the labia, clitoris, and along both sides of the vestibule.
Internal inspection. During the internal part of the exam, a smaller-sized speculum is used to reduce pain during the exam. A digital exam, where the examiner gently inserts a gloved finger to the anus, can also be performed to see if anal muscles trigger vulva pain.