Symptoma

Vulvodynia

We present a case of vulvodynia accompanying somatoform disorder and depression. [ncbi.nlm.nih.gov]

Despite its high prevalence, there remain gaps in knowledge and health care access for women coping with vulvodynia, given its varied clinical presentation and no widely accepted treatment protocol. [dovepress.com]

It affects the vulval vestibule (around the vaginal opening), and presents with painful sexual intercourse. Pain sensitivity is in part genetically determined but also influenced by psychological and environmental factors. [mshc.org.au]

  • Burning Pain

    Although Mary's vaginal discharge and pruritus resolved, the localized burning pain persisted. [journals.lww.com]

    Signs and symptoms of vulvodynia Women with vulvodynia describe their symptoms as vulvar discomfort and burning pain. Vulvodynia often has no visible signs. Causes of vulvodynia Vulvodynia is the term given to vulvar pain with no identifiable cause. [uihc.org]

    “It can be either provoked, meaning you touch the area and the pain starts, or it can be unprovoked, which means you could be laying in bed and have this burning pain for no reason.” [womenshealthsa.co.za]

    SYMPTOMS There is chronic vulval discomfort, most often described as a burning pain, occurring in the absence of a specific, clinically identifiable infections, dermatological, or neurologic disorders. [mshc.org.au]

    People with vulvodynia have described the following sensations in the vulva: Burning pain Sharp pain Rawness Pain during intercourse (dyspareunia) Dull discomfort For some people, this pain is present continuously. [rush.edu]

  • Progressive Dementia

    She developed ataxic gait with rapidly progressive dementia. Brain biopsy confirmed the diagnosis of Creutzfeldt-Jakob disease, and 3 weeks later she lapsed into coma and died. [ncbi.nlm.nih.gov]

  • Noncompliance

    sedation, lethargy, weakness, dizziness, dry mouth, visual disturbance, tinnitus, and palpitations), which are frequently distressing to patients and promote noncompliance. [journals.lww.com]

  • Lichenification

    Differential diagnosis As noted above, biopsy, culture or both should be used to rule out other causes of vulvar burning or irritation, including atypical candidaisis, bacterial vaginosis, trichomoniasis, herpes simplex, lichenification disorders (lichen [clinicaladvisor.com]

    A complete genitourinary physical examination is recommended when a woman presents with possible vulvodynia, in order to rule out organic causes for pain, such as active or chronic infection of the vulva, uterus or adnexae, or lichenification, trauma, [nwhjournal.org]

  • Musculoskeletal Pain

    Look for other types of chronic pain – chronic bladder pain (“interstitial cystitis”), irritable bowel, dysmenorrhoea, musculoskeletal pain are often associated. Migraine and fibromyalgia may also be present. [mshc.org.au]

    Zolnoun (2008) speculated that a subset of vulvodynia patients may suffer from a widespread musculoskeletal pain disorder influenced more by genetic makeup and central nervous system dysfunction than by an inflammatory process in the vulva. [cme.dannemiller.com]

    The fear-avoidance model of musculoskeletal pain: current state of scientific evidence. J Behav Med. 2007;30:77–94. 31. Payne KA, Binik YM, Pukall CF, Thaler L, Amsel R, Khalife S. [dovepress.com]

    The fear-avoidance model of musculoskeletal pain: current state of scientific evidence. J Behav Med. 2007;30:77–94. [PubMed] [Google Scholar] 31. Payne KA, Binik YM, Pukall CF, Thaler L, Amsel R, Khalife S. [ncbi.nlm.nih.gov]

  • Knee Pain

    This is a label that only tells you that pain is present in the vulva—similar to saying you have “knee pain.” [pelvichealing.com]

  • Grieving

    Outside of forums about vulvodynia or intimate conversations with close friends, I feel there is no room for me to grieve all the things that this condition has taken away or somehow “spoilt” for me. [medium.com]

  • Forgetful

    You might feel rushed and forget to ask questions that are important. It’s always a good idea to know what to ask beforehand and to take notes when with the doctor. Some of the questions below may be worth asking. [webmd.com]

    I am surrounded by sex positive people but I am often under the impression that sex positivity forgets to leave space for discussing very difficult situations and emotions without automatically trying to put a positive spin on them. [medium.com]

  • Vulvar Pain

    An estimated 9 to 18 percent of women between ages 18 and 64 experience vulvar pain at some point, according to the National Institutes of Health. Vulvodynia Symptoms Vulvar pain can feel different for different people. [everydayhealth.com]

    Causes of Vulvar Pain Vulvar pain can make any sort of sex difficult or impossible. Vulvar pain can come or go, last for a few hours or a few years. Changing hormones can bring it on, and managing hormones can quell it. [middlesexmd.com]

    This topic is for women who have vulvodynia, a type of vulvar pain with no known cause. [myhealth.alberta.ca]

    The acupuncture protocol was feasible and in this small sample appeared to reduce vulvar pain and dyspareunia with an increase in overall sexual function for women with vulvodynia. [ogka.at]

  • Dyspareunia

    The acupuncture protocol was feasible and in this small sample appeared to reduce vulvar pain and dyspareunia with an increase in overall sexual function for women with vulvodynia. [ogka.at]

    We present a case of refractory vulvodynia with severe dyspareunia successfully managed with a novel therapeutic approach combining botulinum toxin A and surgery. [ncbi.nlm.nih.gov]

    Health Women's Health Conditions and Diseases Vulva Vulvodynia 2 More information Related categories 1 Health Reproductive Health Sexual Dysfunctions Dyspareunia 0 Sites 2 Sort Alphabetically Sort by Review Date National Vulvodynia Association A nonprofit [curlie.org]

    Bergeron, S. " A randomized comparison of group cognitive-behavioral therapy, surface electromyographic biofeedback and vestibulectomy in the treatment of dyspareunia resulting from vulvar vestibulitis". Pain. vol. 91. 2001. pp. 297-306. [clinicaladvisor.com]

    In this study, we observed positive results in managing dyspareunia with botulinum toxin A. [nature.com]

A loss of urinary or bowel control and/or the anal wink reflex requires a workup for a spinal cord lesion. [practicalpainmanagement.com]

No one treatment is clearly the best for an individual patient. Vulvodynia has many possible treatments, but very few controlled trials have been performed to verify efficacy of these treatments. [ncbi.nlm.nih.gov]

Engagement in these solutions may contribute to more representative findings and the development and dissemination of empirically based treatment options for this complex pain condition. [dovepress.com]

No single treatment seems to be effective for all women, and a combination of treatments seems the best approach to improve quality of life. [web.archive.org]

Treatment approaches include behavioral changes, medical management, and surgery, specifically vulvar vestibulectomy. Prior to considering surgical intervention, all medical treatment options should be exhausted. [clinicaltrials.gov]

Prognosis [ 2 ] The natural history of this disorder is not clear. There is a high placebo effect in trials, suggesting high rates of spontaneous improvement in symptoms. Many treatment options have shown good success rates. [patient.info]

Prognosis and outcome Even with appropriate therapy, rapid resolution of symptoms is uncommon. [clinicaladvisor.com]

The following organization provides information on vulvodynia and local support groups: National Vulvodynia Association - www.nva.org Outlook (Prognosis) Vulvodynia is a complicated disease. It may take weeks to months to achieve some pain relief. [mountsinai.org]

Clinical Information Complex pain syndrome with unknown etiology, characterized by constant or intermittent generalized vulva pain (generalized vulvodynia) or localized burning sensations in the vestibule area when pressure is applied (vestibulodynia, [icd9data.com]

Descriptors for unclear etiology include localized versus generalized versus mixed, provoked versus spontaneous versus mixed, primary versus secondary onset, and temporal. [unboundmedicine.com]

This review presents a brief overview of vulvodynia correlates, consequences, etiology, and treatment, and then turns its attention to considering the clinical and methodological challenges that hinder vulvodynia research. [dovepress.com]

KÄSITTEET OHJAUSTERMIT Generalized Vulvodynia Generalized Vulvodynias Vestibulodynia Vestibulodynias Vulvodynia, Generalized Vulvodynias, Generalized HUOMAUTUS do not confuse with VULVAR VESTIBULITIS KÄYTTÖHUOMAUTUS Complex pain syndrome with unknown etiology [finto.fi]

WE NOW RECOGNIZE THAT THERE ARE DISTINCT ETIOLOGIES OF VULVODYNIA (AND WHILE MANY OF THESE ETIOLOGIES OVERLAP), IT IS ESSENTIAL TO RECOGNIZE THE DISTINCT COMPONENT OF THIS SYNDROME. [pelvichealing.com]

The epidemiology, phenomenology and medical management of vulvodynia is reviewed. [ncbi.nlm.nih.gov]

Despite the fact that chronic vulvovaginal symptoms are one of the most common reasons for visits to a gynecology clinic, epidemiologic studies of the incidence and prevalence of these conditions are rare and available population-based studies are limited [clinicaltrials.gov]

Epidemiology Most women diagnosed between age 20 and 80 years Nearly half of women opt not to seek treatment (2). Patients are psychologically comparable with asymptomatic controls and have similar marital satisfaction. [unboundmedicine.com]

[…] bowel syndrome Chronic fatigue syndrome Interstitial cystitis Endometriosis A history of recurrent vulvovaginal candidiasis is commonly associated. [ 5 ] Women with a past history of anxiety and/or depression are more likely to get vulvodynia. [ 6 ] Epidemiology [patient.info]

(First population-based study to assess prevalence and epidemiology of vulvodynia.) Masheb, RM. "On the reliability and validty of physician ratings for vulvodynia and the discriminant validity of its subtypes". Pain Med. vol. 5. 2004. pp. 349-58. [clinicaladvisor.com]

Because vulvodynia has a pathophysiology similar to chronic pain, central nervous system dysfunction may underlie this painful disorder, and noninvasive methods of neuromodulation may prove highly effective. [ncbi.nlm.nih.gov]

Vulvodynia: Definition, Prevalence, Impact, and Pathophysiological Factors J Sex Med 2016; 13: 291e304 Note: As with any exercise program, please consult the appropriate medical provider. [yourpaceyoga.com]

Etiology and Pathophysiology Vulvodynia is likely to be neuropathically mediated: Hypothesized that neurogenic inflammation sensitizes afferent nerves, and transmits impulses to the CNS, where reinforcing signals sustain pain loop In recent investigations [unboundmedicine.com]

One possible pathophysiological mechanism of Vestibulodynia is neuroproliferation. [cme.dannemiller.com]

The pathophysiology underlying LPV is still elusive and unclear. [oatext.com]

Accreditation Infection Prevention and Control The Office for Mental Health and Wellbeing Vision and Priority Workshops Frequently Asked Questions LifeSpan - Integrated Suicide Prevention Primary navigation Page last updated on: 7 Jan 2019 [health.act.gov.au]

We talked about it in depth in this article on vulvodynia, so for this current article, we will focus on what causes vulvodynia to flare-up and how you can prevent this. [vuvatech.com]

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]

Women with generalized vulvodynia describe vaginal burning, stinging, rawness, and aching that can be a mild discomfort or more severe pain, preventing daily activities. Some women report an increased discharge with the pain. [middlesexmd.com]

Symptoms The condition ranges from a minor annoyance to severe pain that prevents or seriously impedes daily activities, affecting what one women characterized as "sitting, sex, and sports." [healthcentral.com]