According to the International Society for the Study of Vulvovaginal Disease, the classification of vulvodynia is based on the site of the pain, whether it is localized or generalized; and whether the pain is provoked, unprovoked, or mixed. Diagnosis is usually made after a detailed medical history has been taken, infectious or dermatological abnormalities has been ruled out, and pain is elicited in response to light pressure on the labia, introitus, or hymenal remnants. There is a scarcity of randomized controlled studies of vulvodynia treatments, which include acupuncture, cognitive behavioral therapy CBTelectrical stimulation of the sacral nerves i.
The external female genital area is called the vulva. Pain that affects this area is very common. Vulvodynia is pain that lasts for 3 months or longer and is not caused by an infection, skin disorder, or other medical condition.
REED, M. Patient information: See related handout on vulvodyniawritten by the author of this article. The diagnosis of vulvodynia is made after taking a careful history, ruling out infectious or dermatologic abnormalities, and eliciting pain in response to light pressure on the labia, introitus, or hymenal remnants.
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Vulvodynia is the term developed in by the International Society for the Study of Vulvovaginal Disease to describe chronic vulvar pain. Vulvar pain can be related to a known disorder such as a bad yeast infection or a herpes outbreak. Recently clinicians have learned that pelvic floor muscle spasm or tightness caused by a variety of conditions is a major source of vulvar pain.
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Vulvodynia, simply put, is chronic vulvar pain without an identifiable cause. The location, constancy and severity of the pain vary among sufferers. Some women experience pain in only one area of the vulva, while others experience pain in multiple areas.
Increased awareness of vestibulitis has led to exciting new research and it has become apparent that vestubilitis is not just one disease but is in fact just a symptom of several different disease or conditions. While many of these diseases look very similar, subtle differences, along with a person's history can be used to distinguish the causes of the pain and thereby lead to a logical treatment path. This also explains why no one treatment works for every woman with vestibulitis and also explains why the vast majority of research up until this point isn't very useful.
On 10 September I lay on the trolley in an anaesthetic room, petrified at the thought of having surgery but also excited about what the operation would hopefully achieve. The gynaecologist explained that the procedure was for a specific type of dyspareunia called vestibulitis. She diagnosed this by the relief of pain after the application of local anaesthetic cream around the introitus.