A woman in her 60s suffers from autonomic dysfunction and has an unhappy Mother’s Day; the culprit turns out to be ‘vulvar vestibulitis.
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Written by Tang Yi, Good Doctor News Network.
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As Mother’s Day approaches, many people are putting thought into giving their mothers an unforgettable gift. However, nothing is as thoughtful as giving the gift of ‘health,’ especially for the many women suffering from the pain of autonomic dysfunction who hope to be liberated from their ailments. Dr. Chang Min Chieh, the director of the Kaohsiung Chang Min Chieh Gynecology and Family Medicine Clinic, who has over 40 years of experience in the field of gynecology, points out that the autonomic nervous system is widely distributed and almost covers the entire body. Many diseases are comorbid with it, and in clinical experience, ‘vulvar vestibulitis’ is often the culprit.
Ms. Zheng, 65, often experiences involuntary twitching at the right corner of her mouth. In addition, she has been suffering from dizziness, vertigo, chest tightness, and bladder prolapse for two years. She visited all the major hospitals and consulted with every conceivable department, including family medicine, neurology, and obstetrics and gynecology, without any improvement.
Dr. Chang Min Chieh said that when the patient visited, her spirits were quite low, and she had been tormented by these ‘minor ailments’ to the point where her will to live was diminished. After diagnosis, it was confirmed to be the rarely noticed ‘vulvar vestibulitis’ combined with autonomic dysfunction. After two to three treatments that improved the condition, the involuntary twitching of her mouth corner, dizziness, and vertigo improved by 10 points. Frequent urination and urinary incontinence improved by 9 points, with a patient satisfaction score of 10 points. Even her previously frequent lower back pain, shoulder and neck pain, and chest tightness disappeared.
What is “vulvar vestibulitis”?
Vulvar vestibulitis is a gynecological condition described as “common yet uncommon, rare yet not so rare.” Although some studies suggest that women have an 8% chance of developing this condition over their lifetime, scientists have found that compared to the average woman, those with vestibulitis have more small nerves that are denser and have more abundant mast cells and plasma cells. This is believed to keep the vulvar area in a state of chronic inflammation and heightened sensitivity. Additionally, the excessive sensitivity of the nerves causes tactile sensations to be perceived as pain.
Dr. Chang Min Chieh, director of the Kaohsiung Zhang Minjie Gynecology and Family Medicine Clinic, has over 40 years of experience in the field of gynecology and extensive professional research and clinical experience with vulvar vestibulitis. He says the cause of the disease is related to the body’s immune system and that it rarely presents with isolated symptoms; it is mostly comorbid with autonomic dysfunction.
Another patient, Ms. Guo, 80 years old, frequently experienced blurred vision and vertigo so severe that the room seemed to spin, along with chronic shoulder and neck pain, lower back pain, chest tightness, and stomach pain for many years. Despite visiting numerous hospitals and clinics, she saw no improvement. She was similarly diagnosed with vulvar vestibulitis and autonomic dysfunction. After treatment, all her symptoms improved by 9 to 10 points.
Dr. Chang Min Chieh points out that the autonomic nervous system plays a crucial role in human health and is widely distributed throughout the body. When it becomes imbalanced, symptoms may appear in various parts of the body. Due to its frequent comorbidity with ‘vulvar vestibulitis,’ the presentation is often more complex. If it weren’t for his clinical experience that allows him to treat these conditions effectively, it would remain a challenging issue in other countries around the world.
Another case involved Ms. Li, a 50-year-old woman who presented with unexplained swelling of both palms and reported numbness in her fingertips, combined with shoulder and neck stiffness, lower back pain, chest tightness, gastroesophageal reflux, frequent urination, and years of painful intercourse. While living abroad, she sought treatment but found no relief. She was diagnosed with vulvar vestibulitis, and after treatment, the swelling in her palms and numbness in her fingertips improved by 10 points. Shoulder and neck stiffness, lower back pain, and chest tightness improved by 9 points, with patient satisfaction at 10 points. Gastroesophageal reflux and bloating improved by 9 points, with patient satisfaction at 10 points. Frequent urination and pain during intercourse improved by 9 points, with patient satisfaction at 10 points.
Article authorized for reproduction from ‘Good Doctor News Network’: Autonomic Dysfunction: An Unhappy Mother’s Day, Culprit Turns Out to Be Vulvar Vestibulitis.
