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Vulvodynia

Presentation

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

Descriptive statistics were used to present findings. Thirteen cases were reviewed (mean age symptoms began 6.5 years, range 2-12 years). Vulvar discomfort was present in all patients prior to menarche. [jpagonline.org]

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]

Entire Body System

  • Burning Pain

    Mary's burning pain lessened but didn't completely resolve. Sometimes the burning sensation was so severe that she could hardly sit. She continued her sexual relationship with her boyfriend, but the burning pain worsened after intercourse. [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]

    Vulvodynia generally causes burning, irritation, or pain, and tends to affect women ages 18 to 25. [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]

    Localized vulvodyniais pain in one area of the vulva. Often a burning sensation, this type of vulvar pain usually results from touch or pressure, like sex or prolonged sitting. [webmd.com]

  • Recurrent Urinary Tract Infection

    Adverse effects causing discontinuation of therapy included local irritation and urinary problems such as retention, frequency, and recurrent urinary tract infections. [ncbi.nlm.nih.gov]

Jaw & Teeth

  • Tongue Ulcer

    Lidocaine toxicity during frequent viscous lidocaine use for painful tongue ulcer. J Pain Symptom Manage 2002;24:543-5. Cited Here 3. Eva LJ, MacLean AB, Reid WM, Rolfe KJ, Perrett CW. Estrogen receptor expression in vulvar vestibulitis syndrome. [journals.lww.com]

  • Jaw Pain

    For example: irritable bowel irritable bladder migraine fibromyalgia back and jaw pain chronic fatigue syndrome Persistent triggers causing inflammation contribute to chronic pain. [mshc.org.au]

Musculoskeletal

  • Elbow Pain

    It’s like saying I have elbow pain. When the pain is felt more specifically at the vestibule it is termed Vestibulodynia and if it is felt at the clitoris it is termed Clitorodynia. [embracephysio.sg]

Urogenital

  • Vulvar Pain

    That pressure may be caused by: sex inserting a tampon sitting wearing tight, form-fitting pants The vulvar tissue often looks healthy and normal in people with vulvar pain. Vulvar pain isn’t well understood. [healthline.com]

    These suggestions will be helpful in all women, not just those with vulvar pain. [healthywomen.org]

    Books are available for health care providers who care for patients with vulvar pain, as well as for the patients with vulvar pain [47, 48]. SUMMARY Vulvar pain is a complex disorder that frequently is frustrating to both practitioner and patient. [journals.lww.com]

    […] classify vulvar pain (2). [yourpaceyoga.com]

    Vulvodynia is a condition when you have pain in your vulva (AKA vulvar pain) that isn’t from an infection or other medical problem, and it lasts for 3 months or more. [plannedparenthood.org]

  • 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]

    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]

    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]

    Vulvar vestibulitis syndrome (VVS) is currently thought to be the main cause of dyspareunia in pre-menopausal women (Friedrich, 1988; Meana et al., in press a), with reported prevalence rates of up to 15% in general gynecological practice (Goetsch, 1991 [doi.org]

Workup

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

Treatment

[…] two other treatment conditions. [journals.lww.com]

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]

[…] for some women who don’t respond to any other treatments Psychological treatments Counselling can help you with affected relationships, intimacy and self-esteem issues, as well as sleep problems. [jeanhailes.org.au]

However, expectations must be realistic as the response to treatment is not immediate and treatment is often prolonged. It helps to explain the rationale for different treatment strategies and engage the woman in treatment choice. [racgp.org.au]

There are lots of treatments for vulvodynia, but everyone’s different. So there’s not one treatment that works for everyone. You might need to try more than one treatment, and it can take a few months before you start to feel better. [plannedparenthood.org]

Prognosis

Treatment and prognosis Multimodality approach with avoidance of irritating factors, tricyclic antidepressants, anticonvulsants, local pain-relieving drugs, pelvic floor strengthens exercises, physiotherapy, nerve block and sometimes surgical methods [radiopaedia.org]

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]

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]

Etiology

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]

The purpose of this paper is to critically review the descriptive, diagnostic, etiologic, and treatment studies on VVS. Methodological problems are highlighted, and future guidelines for research are proposed. [ncbi.nlm.nih.gov]

All data relevant to the descriptive, diagnostic, etiologic, and treatment aspects of VVS were included. Pain symptomatology tends to be underemphasized in the current descriptive studies. [doi.org]

Epidemiology

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]

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

Pathophysiology

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 http://www.isswsh.org/images/PDF/Consensus_Terminology_of_Vulvar_Pain.pdf Note: As with any exercise program, please consult the appropriate medical [yourpaceyoga.com]

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

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

Prevention

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]

Can vulvodynia be prevented or avoided? Doctors aren’t sure what causes vulvodynia, so there is no sure way to prevent it or avoid it. Vulvodynia treatment Some types of vulvar pain get better with creams or pills made to treat yeast infections. [familydoctor.org]

LIFESTYLE CHANGES Lifestyle changes may help prevent vulvodynia triggers and relieve symptoms. DO NOT douche or use soaps or oils that may cause inflammation. Wear all cotton underwear and don't use fabric softener on underpants. [mountsinai.org]

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