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Vulvar Vestibulitis

Vestibulodynia


Presentation

  • Women with vestibulodynia have difficulty with sexual function and present with sexual distress, which has to be addressed in conjunction with pain to eliminate the disorder. Petersen CD, Giraldi A, Lundvall L, and Kristensen E.[onlinelibrary.wiley.com]
  • Laboratory tests are used to exclude bacterial or viral infection, and a careful examination of the vulvo/vaginal area is conducted to assess whether any atrophy is present Treatment [ edit ] This section is empty.[en.wikipedia.org]
  • […] such as Atarax or Vistaril, that inhibit the release of histamines that can irritate mucous membranes physical and exercise therapy to strengthen and relax the pelvic-floor muscles—called pelvic floor therapy—particularly if lower back problems are present[medical-dictionary.thefreedictionary.com]
  • Living with vestibulitis has certainly made my 20s very challenging, so I urge you to please remember this article the next time a woman presents with pain during intercourse.[ncbi.nlm.nih.gov]
  • However, given the variable presentation and individualized responses to treatment, causation is very likely multifactorial.[acog.org]
Severe Pain
  • Since this patient had no history of sexual activity, the diagnosis was primarily based on complaints of severe pain during routine gynecological examinations.[journals.lww.com]
  • This syndrome is characterized by severe pain on vestibular touch or attempted vaginal entry, point tenderness to cotton-tip palpation of the vulvar vestibule, and physical findings confined to vestibular erythema and non-specific inflammation (Friedrich[digitalscholarship.unlv.edu]
  • The syndrome has been cited as affecting about 10% to 15% of women seeking gynecological care. [1] Symptoms [ edit ] VVS is characterized by severe pain with attempted penetration of the vaginal orifice and reports of tenderness with pressure within the[en.wikipedia.org]
  • Vulvoscopy with the use of an acetic acid vulvar soak can cause severe pain and distress from irritation.[acog.org]
Enuresis
  • 16942537 ) Goldstein AT...Marinoff SC 2006 21 Vulvar vestibulitis syndrome. ( 17064641 ) Gardella C 2006 22 The major histopathologic characteristics in the vulvar vestibulitis syndrome. ( 15542936 ) Halperin R...Schneider D 2005 23 Childhood nocturnal enuresis[malacards.org]
Perineal Swelling
  • This is a case report of a 25-year-old female, with no prior history of sexual activity, whose chief complaint was a 3-year history of severe pain (8/10) associated with routine gynecological exams and whose secondary complaints were of perineal swelling[journals.lww.com]
Back Pain
Suggestibility
  • The prevalence of VVS is unknown but some surveys have suggested that about 28% of women have a history of vestibular pain.[medical-dictionary.thefreedictionary.com]
  • Suggested treatment for sexual difficulties and research into asexuality, Dr Lori Brotto, 11 June 2012, ABC Radio National[en.wikipedia.org]
  • Preliminary evidence suggests that mast cells direct the immune pathways mediating this triad... Read more Secondary provoked vestibulodynia in sexually-active women with recurrent uncomplicated urinary tract infections Salonia A. Clementi MC.[fondazionegraziottin.org]
Irritability
  • Causes and symptoms Causes Suggested causes of vulvodynia include: irritation or injury to the vulvar nerves hypersensitivity of nerves in the vulvar region an abnormal response of vulvar cells to environmental factors, including infection or injury irritation[medical-dictionary.thefreedictionary.com]
  • Irritation and burning can persist for hours or days after sexual activity, and many patients also report localized pain from tampon use, finger insertion, gynecological examinations, wearing tight clothing and exercise.[digitalscholarship.unlv.edu]
  • The feelings of irritation and burning can persist for hours or days following sexual activity, engendering a sense of hopelessness and depression.[en.wikipedia.org]
  • Vulvoscopy with the use of an acetic acid vulvar soak can cause severe pain and distress from irritation.[acog.org]
Burning Sensation
  • Although the symptoms and their severity vary widely, a burning sensation within the female genitalia is the most common symptom. The pain may be intermittent or constant and localized or generalized throughout the pelvic region.[medical-dictionary.thefreedictionary.com]
Vulvar Pain
  • Vulvar Pain Foundation. P.O. Drawer 177, Graham, NC, 27253. 336-226-0704. . Other About Vulvodynia. National Vulvodynia Association. June 19, 2003 [cited March 5, 2005]. . "Chronic Vulvar Pain May Be a Highly Prevalent Disorder." NVA News.[medical-dictionary.thefreedictionary.com]
  • Until recently, "vulvar vestibulitis" was the term used for localized vulvar pain: the suffix "-itis" would normally imply inflammation, but in fact there is little evidence to support an inflammatory process in the condition.[en.wikipedia.org]
  • VVS is usually classified as one of the most common subsets of vulvodynia, a general condition of chronic, unexplained vulvar pain.[digitalscholarship.unlv.edu]
  • Results: The Vulvar Pain Task Force makes recommendations for physical therapy evaluation and management of LPV. Recommendations address the need for physical therapy research in the field of vulvar pain.[insights.ovid.com]
  • Vulvar pain can be caused by a specific disorder or it can be idiopathic. Idiopathic vulvar pain is classified as vulvodynia.[acog.org]
Nocturnal Enuresis
  • enuresis in vulvar vestibulitis syndrome. ( 15730174 ) Greenstein A...Abramov L 2005 24 Personality traits associated with perception of noxious stimuli in women with vulvar vestibulitis syndrome. ( 15772910 ) Granot M 2005 25 Neural correlates of painful[malacards.org]
Vulvar Irritation
  • See Box 2 for vulvar care measures that can minimize vulvar irritation. Medications used to treat vulvar pain include topical, oral, and intralesional medicinal substances, as well as pudendal nerve blocks and botulinum toxin.[acog.org]

Treatment

  • S 2007 11 Effectiveness of hypnosis for the treatment of vulvar vestibulitis syndrome: a preliminary investigation. ( 17367437 ) Pukall C...Binik Y 2007 12 Human papillomavirus in vulvar vestibulitis syndrome. ( 17694965 ) Gaunt G...Gostout BS 2007 13[malacards.org]
  • A treatment may work for some women and not for others and some treatments may cause unacceptable side effects in some women.[medical-dictionary.thefreedictionary.com]
  • The treatment of vulvar vestibulitis syndrome: Toward a multimodal approach. Sexual and Marital Therapy, 12 (4), 305-311.[digitalscholarship.unlv.edu]
  • Suggested treatment for sexual difficulties and research into asexuality, Dr Lori Brotto, 11 June 2012, ABC Radio National[en.wikipedia.org]
  • Botulinum toxin Type A—A novel treatment for provoked vestibulodynia? Results from a randomized, placebo controlled, double blinded study. J Sex Med 2009;6:2523–2537.[onlinelibrary.wiley.com]

Prognosis

  • , escarole, collards, and spinach celery parsley and watercress green peppers beets tomato and vegetable soups rutabaga eggplant leeks okra sweet potatoes summer squash rhubarb berries purple grapes tangerines chocolate beer, beverage mixes, and tea Prognosis[medical-dictionary.thefreedictionary.com]

Etiology

  • Future research should aim at evaluating a multimodal approach in the treatment of vulvodynia, along with more research on the etiologies of vulvodynia.[acog.org]

Pathophysiology

  • Greenstein A...Abramov L 2007 14 Surgical treatment for the vulvar vestibulitis syndrome. ( 16449109 ) Traas MA...Vierhout ME 2006 15 Surgical techniques: Surgery for Vulvar Vestibulitis syndrome. ( 16681483 ) Goldstein A 2006 16 A conceptual model for the pathophysiology[malacards.org]
  • Pathophysiology of R-UTIs is complex... Read more[fondazionegraziottin.org]

Prevention

  • Prevention Numerous suggestions have been made for preventing vulvodynia and for relieving symptoms and preventing further irritation, including: using soft, white or unbleached, unscented toilet tissue using 100% cotton menstrual pads and tampons avoiding[medical-dictionary.thefreedictionary.com]

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