How Many Play Docs Test for VVS

I recently heard of VVS, Vulvar Vestibulitis, which is a syndrome that has been cited as affecting 10-15% premenopausal woman seeking Gyno care, according to Wikipedia. VVS is characterized by severe pain with attempted penetration of the vaginal orifice. Thus, "diagnosis is readily made by the cotton-swab test, in which pressure is applied in a circular fashion around the vulvar vestibule to assess complaints of pain. Also, a careful examination of the vaginal area is conducted to assess whether any atrophy is present."

Interestingly, "the pain of VVS may extend into the clitoris; this is referred to as clitorodynia". I would think that the possible pain could be tested for by taking a cotton swab to the clitoris and seeing if the patient feels any pain.

While I would not wish that upon any female, it does sounds like something play Doctors should thoroughly test for with a cotton swab and other insertions.

Have any play Docs incorporated this into their female examinations?

Lady Teddy, whose thirst for knowledge is never quenched

Hmmm, mind if I pass this on to my play-doc? He insists on the most thorough examinations every time I have an appointment with him. Even though I'm post menopausal, I think I should be tested, especially for clitorodynia! Gosh, what will they think of next?

That is exactly why I mentioned it! I think that all play Docs should test for VVS. I also want to be tested for clitorodynia. Go for it, LadyDoc and enjoy! Now, are there any other play Docs who perform this test of their patients? It seems fairly common and the test only requires a Q-tip (or something larger for insertions) 😘 .

Lady Teddy, always looking for keeping it real

Thank you for the valuable information Lady Teddy. I will most certainly be including this necessary test in my future examinations.

I will include this on my further examinations also but only at more than 40 years patients ( thank you Lady Teddy and karma )

It's fairly common especially if there are complaints of painful intercourse in the history...and I do this as part of my play exams during the external part of the exam when checking the vulva, bartholins glands, etc.

On a purely clinical note if interested...there are some possible links with urinary tract problems. The tissue of the bladder and vaginal lining comes from exactly the same source in fetal development...so transfer of inflammation seems very common.

Along those lines another test...for experienced playdocs only...is the infusion of both a saline and potassium chloride solution into the bladder to note if the patient can sense the difference...basically looking for a positive challenge to the potassium...which points to cystitis an similar related problems. Again only for experienced playdocs...I won't give details on this exam in the public forum