Vulvar Granuloma Fissuratum (Recurrent Tearing of the Vulva)

Having vulvar granuloma fissuratum (VGF) can be a difficult and isolating experience. Painful intercourse, burning sensations, and physical erosion on the vulva can make it difficult to do daily activities easily.

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Managing VGF requires identifying underlying conditions and adherence to treatment plans, which can often be overwhelming. With support and guidance, however, it is possible to live with VGF without sacrificing your quality of life.

What is vulvar granuloma fissuratum (recurrent tearing of the vulva)?

Vulvar granuloma fissuratum (VGF) is a chronic condition characterized by recurring tearing of the vulva. The primary symptoms of VGF are:

Pain during sex
Burning or itching sensation on the affected area
Physical erosion or scarring on the vulva
Discomfort while urinating or during other activities that put pressure on the affected area

What conditions are associated with vulvar granuloma fissuratum?

Those with untreated vulvar lichen sclerosus are vulnerable to developing VGF due to:

The accompanying scarring and thinning of the labia minora
Partial closure of the opening of the clitoris
Introital stenosis (narrowing of the vaginal canal)
Recurrent mechanical fissure of the posterior fourchette, which is ulceration that occurs at the back edge of the vulva due to repeated friction and trauma

It may also be caused by the following:

Poorly healed perineal tears from childbirth
Overactive muscles in the pelvic floor
Poor hygiene
Hygiene products that cause irritation and infection in the affected area
Contact dermatitis
Ill-fitting undergarments that rub too tightly against the skin

How is vulvar granuloma fissuratum (recurrent tearing of the vulva) treated?

Identifying and treating any underlying conditions may help improve mild cases of VGF. This could include:

Avoiding contact with irritants
Applying topical medications such as corticosteroids, hormones, or other compounded creams
Manual dilating with graduated vaginal dilators
Certain injections
In more severe cases, surgery may be necessary to repair any damage caused by VGF

Am I a good candidate for VGF treatment?

Whether you are a good candidate for treatment will depend upon your case and which treatments have already been attempted. Dr. Bahlani can assess your situation and recommend an appropriate course of action to help relieve symptoms and treat any underlying conditions causing them.

Why choose Pelvic Pain Doc for your VGF treatment?

Pelvic Pain Doc offers exceptional care for patients suffering from vulvar granuloma fissuratum (VGF). Led by a fellowship-trained expert in sexual and pelvic health, Dr. Bahlani, our team takes a holistic approach to lifestyle changes to provide relief to those affected by pelvic pain and pelvic floor disorders in NYC. We build meaningful relationships with our patients based on trust and mutual understanding of individual goals to help them regain control over their lives.

Dr. Bahlani is often heard on informational podcasts on pelvic pain and frequently appears in media outlets to raise awareness about this condition and pelvic pain. Many patients travel long-distance to receive Dr. Bahlani's specialized care and compassion. Contact us today to learn more about VGF.