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]

• 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]

  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]

• 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

  Identifying and treating triggers of pain will help to reduce flares of symptoms. Look for other types of chronic pain – chronic bladder pain (“interstitial cystitis”), irritable bowel, dysmenorrhoea, musculoskeletal pain are often associated. [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

  Recall that the term 'vulvodynia' simply means pain in the vulva—it truly is not a diagnosis, but rather a descriptor of what is happening. This is a label that only tells you that pain is present in the vulva—similar to saying you have “knee pain.” [pelvichealing.com]

• Vulvar Pain

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

  Vulvar vestibulitis is persistent vaginal pain located in the vulvar vestibule. The vulvar vestibule is the area around the opening of the vagina. Vulvar vestibulitis is sometimes referred to as localized vulvar pain syndrome. [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]

  (Good background on the field of vulvar pain.) [clinicaladvisor.com]

• 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]

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]

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]

"Overnight 5% lidocaine ointment for treatment of vulvar vestibulitis". Obstet Gynecol. vol. 102. 2003. pp. 84-7. (One of first topical treatment trials to demonstrate a positive effect on pain and sexual function.) [clinicaladvisor.com]

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]

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. [ufhealth.org]

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

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]

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 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]

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]

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]

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]

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]