Vulvodynia just means pain in the vulva. It is not a diagnosis - and Dr. Maria Uloko argues that is why treatment so often fails.
Maria is a urologist trained in comprehensive sexual health, one of seven in the world doing this work. We go type by type: what causes each one, what treats it, who it will not help.
SPONSORS
Pelva: the HydroSlix liner, a cushioning insert for more comfort during insertion. pelva.com, code TWTC10 for 10% off your first order.
Origin: the largest in-network pelvic floor PT provider in the US, most patients pay under $36 a visit. theoriginway.com/TWTC, code TWTC for your first month of OnTrack free.
Connect with Dr Uloko:
instagram.com/mariaulokomd
instagram.com/vulvai.co
Connect with Mathilde:
IG: @theworldstightestcommunity
Web: theworldstightestcommunity.com
Newsletter: https://tinyurl.com/4h4snzzd
Support: https://tinyurl.com/mtxnzhsd
00:00:00 Introduction, Dr. Maria Uloko
00:02:24 Medication, Trial and Error
00:03:35 Sexual Health Training
00:04:25 Curable Conditions, No Diagnosis
00:05:24 Chest Pain Analogy
00:08:22 Symptoms vs Diagnoses
00:09:20 Success Rates, 13-67%
00:10:14 Root Cause, Burnout, VULVAi
00:11:17 Mathilde's Diagnosis, Dismissal
00:12:45 Crisis in Plain Sight
00:13:37 Anatomy Study, 75% Gap
00:14:37 Pelvic vs Vulvar Exam
00:16:28 Cost of Misdiagnosis
00:18:47 Sponsor: Origin
00:21:12 Sponsor: Pelva
00:22:44 Topicals, Systemics; a 101
00:23:24 Vulvodynia, Parts of the Vulva
00:24:48 Vestibule, 90% of Pain
00:26:34 Hormonally Mediated Vestibulodynia
00:27:44 Recurrent BV, Yeast; Q-Tip Test
00:28:35 Birth Control, Acne, Hair Loss
00:29:28 Tool: Estrogen, Testosterone
00:30:06 Premenopausal Triggers, 99%
00:30:44 IUDs, Rings, Implants
00:31:24 Oral Pill, Testosterone, SHBG
00:33:03 Staying on Birth Control
00:34:50 Tool: Check Hormone Labs
00:35:57 Recovery Timelines
00:37:39 Neuroproliferative Vestibulodynia
00:38:20 Congenital vs Acquired
00:39:26 Gabapentin, Lyrica; Pudendal Nerve
00:40:41 Wrong Drug, Wrong Diagnosis
00:41:17 Vestibulectomy, 96% Success
00:42:30 Partial vs Complete Surgery
00:45:29 Europe vs US Practice
00:46:54 When Surgery Is Indicated
00:48:28 Nerve Medication Success Rates
00:49:44 Hormonal and Nerve Pain
00:50:36 Anesthesia Test, Nerve Blocks
00:52:18 Living at a Four; Side Effects
00:53:43 Pelvic Floor Dysfunction
00:55:13 Primary vs Secondary Tension
00:59:26 Pelvic Floor Physical Therapy
01:00:00 Kegels, Why to Stop
01:00:47 Tool: TENS, Acupuncture, Breath
01:01:20 Muscle Relaxants, Suppositories
01:01:52 Botox, Resetting the Muscles
01:03:22 Clitorodynia, Clitoral Adhesions
01:04:37 Clitoral Nerve Pain
01:06:47 Lidocaine
01:08:50 Compounded Topicals, ABG Cream
01:10:44 Systemic vs Topical, Duration
01:11:56 Emerging Treatments
01:13:43 Endometriosis, Fibroids
01:14:44 Mast Cells, Antihistamines
01:16:11 VULVAi, Pre-Seed Round
01:16:54 Instagram, Reviews, Support
