Pain and bleeding during sexual intercourse… let’s talk about Vulvar Pterygium

Pterigion Vulvoperineal
by Dr. Yalixtzin Madriz Esturo

A fulfilling sexuality is an important part of a woman’s well-being and is directly conditioned by the healthy state of female genitals. The presence of pain, and even bleeding, associated with sexual intercourse compromises a woman’s satisfaction and significantly affects her relationship with her partner.

The loss of elasticity and tissue fragility at this level lead to the repeated appearance of fissures that cause pain and postcoital bleeding.

Among the causes that may be present in these patients is vulvoperineal pterygium, a term that is unfamiliar to many, and it refers to a predominantly fibrous transverse fold that appears near the vulvar fork. The loss of elasticity and tissue fragility at this level lead to the repeated appearance of fissures that cause pain and postcoital bleeding. It can even prevent penetration entirely. It often occurs in postmenopausal patients or those undergoing treatments that significantly reduce estrogen levels, affecting the trophism of genital tissue.

In the treatment of these patients, we perform surgical removal of this fibrotic band and apply pure and autologous platelet-rich plasma (PRP). The excised tissue is biopsied to rule out pathologies such as vulvar lichen sclerosus. The plasma is obtained from the patient herself on the same day of the procedure, thus avoiding the risk of allergies or hypersensitivity reactions.

The novel approach provided by Functional and Regenerative Gynecology aims at bio-stimulating genital tissue, halting cellular aging.

This combination promotes the concentration of growth factors in the tissue with a reparative effect, stimulates fibroblasts for the production of their collagen, providing elasticity and the formation of new blood vessels that ensure the arrival of oxygen and nutrients for proper healing.

The novel approach provided by Functional and Regenerative Gynecology aims at bio-stimulating genital tissue, halting cellular aging. The rejuvenation of female genitals goes beyond the aesthetic aspect to emphasize the recovery of sensitivity and the trophism of vaginal and vulvoperineal tissues directly involved in women’s sexual function.

Pterigion Vulvoperineal