Nevertheless, sexual and marital relations almost invariably suffer from the disorder. Chronic pain of any kind diminishes sexual desire and causes depression. In terms of overall functioning, the loss of sexual activity usually pales beside the needs of women to simply sit, walk, think, sleep, care for their children, and earn a living. On visual examination, the vulvar skin of vulvar pain sufferers typically looks completely normal, especially to the untrained eye. Occasionally, eroding, highly inflamed sores are seen.
Pathological examination varies in the particulars.
Rinse the vulvar skin after every urination using a squirt bottle, bidet, or shower head. Rinse all detergent out of underwear by putting it through the wash cycle repeatedly with plain water only. Do not use fabric softener in washer or dryer. Use compresses of oatmeal, Aveeno, or wet tea bags for 5 to 10 minutes two or more times a day. Use vitamin E oil several times a day, or after every urination.