Articles
Read stories written by women who have been treated for Vulvodynia
Pelvic Floor Disorders
Chapter contribution by Marek Jantos Ph.D.
Chapter contribution by Marek Jantos Ph.D.
Historical background to the study of vulvodynia
By Marek Jantos Ph.D.
By Marek Jantos Ph.D.
Prevalence of Vulvodynia
By Marek Jantos Ph.D.
By Marek Jantos Ph.D.
Classification of Chronic Vulvar Pain
By Marek Jantos Ph.D.
By Marek Jantos Ph.D.
A Controversial Question: Is the Pain Sexual or is the Sex Painful?
By Marek Jantos Ph.D.
By Marek Jantos Ph.D.
Research Linking Organic and Physiological Factors with Vulvodynia
By Marek Jantos Ph.D.
By Marek Jantos Ph.D.
Evidence Linking Psychological Factors with Vulvodynia
By Marek Jantos Ph.D.
By Marek Jantos Ph.D.
Clinical Management of Vulvodynia
By Marek Jantos Ph.D.
By Marek Jantos Ph.D.
Understanding the Nature of Chronic Pain
By Marek Jantos Ph.D.
By Marek Jantos Ph.D.
Psychophysiological Perspective on Chronic Pain
By Marek Jantos Ph.D.
By Marek Jantos Ph.D.
Centrality of Sexuality to Wellbeing and Assessment of Sexual Health
By Marek Jantos Ph.D.
By Marek Jantos Ph.D.
A Multidisciplinary Approach to the Study of Vulvodynia
By Marek Jantos Ph.D.
By Marek Jantos Ph.D.
Vulvodynia: The Development of a Psychosexual Profile (Abstract)
By Marek Jantos and Nicholas R Burns
By Marek Jantos and Nicholas R Burns
Understanding Chronic Pelvic Pain
The article examines some of the psychophysiological mechanisms evident in chronic pain syndromes especially when mediated by myofascial pelvic dysfunction.
By Marek Jantos Ph.D.
The article examines some of the psychophysiological mechanisms evident in chronic pain syndromes especially when mediated by myofascial pelvic dysfunction.
By Marek Jantos Ph.D.
Childbirth Practices and Women with Vulvodynia
By Andrea Hall
Andrea Hall is an editor, NVA Executive Board member, and the mother of two young boys.
She has done extensive research on pregnancy and childbirth.
By Andrea Hall
Andrea Hall is an editor, NVA Executive Board member, and the mother of two young boys.
She has done extensive research on pregnancy and childbirth.
MO Clinical Review: Vulvodynia Update
By Richard Reid, M.D.
By Richard Reid, M.D.
VULVODYNIA: Recognition and Management (adapted fom “Genital Condylomas, Intraepithelial Neoplasia, and Vulvodynia)
Prior to the 1980s, complaints of chronic vulvar pain were generally attributable to one of several well-defined somatic diseases. Since then, however, clinics specializing in lower tract disorders have been inundated with an ever increasing body of women who complain of intractable burning pain and acquired introital dyspareunia…
By Richard Reid, M.D.
Prior to the 1980s, complaints of chronic vulvar pain were generally attributable to one of several well-defined somatic diseases. Since then, however, clinics specializing in lower tract disorders have been inundated with an ever increasing body of women who complain of intractable burning pain and acquired introital dyspareunia…
By Richard Reid, M.D.
Vulvar Vestibulitis Syndrome: An Often Unrecognised Cause of Dyspareunia
Vulvar vestibulitis syndrome (VVS) is an easily identifiable cause of entry dyspareunia. The aetiology is unknown although there is a strong association with Candida infection. The condition represents a focal area of hyperaesthesia within the vulvar vestibule. A management protocol for patients with this condition is presented; 230 patients with VVS were managed and followed-up over a 5-year period. Spontaneous resolution or improvement occurred in 21 % of patients following initial explanation and use of simple local measures. In 21 %, there were positive Candida cultures and long-term antifungal therapy resulted in a 71 % cure. In Candida-negative patients, lown-dose amitriptyline was used (up to, 75 mg daily) with a 60% positive response rate. Carbamazepine was of little benefit (13% response). Surgical vestibulectomy was offered when conservative measures failed and this was performed in 22 patients (10%) with a beneficial result in 20 patients (91%).
By Ross Pagano FRCOG, FRACOG, Vulvar Disorders Clinic, Royal Women’s Hospital, Melbourne, Victoria.
Vulvar vestibulitis syndrome (VVS) is an easily identifiable cause of entry dyspareunia. The aetiology is unknown although there is a strong association with Candida infection. The condition represents a focal area of hyperaesthesia within the vulvar vestibule. A management protocol for patients with this condition is presented; 230 patients with VVS were managed and followed-up over a 5-year period. Spontaneous resolution or improvement occurred in 21 % of patients following initial explanation and use of simple local measures. In 21 %, there were positive Candida cultures and long-term antifungal therapy resulted in a 71 % cure. In Candida-negative patients, lown-dose amitriptyline was used (up to, 75 mg daily) with a 60% positive response rate. Carbamazepine was of little benefit (13% response). Surgical vestibulectomy was offered when conservative measures failed and this was performed in 22 patients (10%) with a beneficial result in 20 patients (91%).
By Ross Pagano FRCOG, FRACOG, Vulvar Disorders Clinic, Royal Women’s Hospital, Melbourne, Victoria.
The Vestibulitis Syndrome
Medical and Psychosexual Assessment of a Cohort of Patients
By Marek Jantos, M.A. and Gordon White, F.A.C. Ven., M.F.P.H.M.,M.H.P.
Medical and Psychosexual Assessment of a Cohort of Patients
By Marek Jantos, M.A. and Gordon White, F.A.C. Ven., M.F.P.H.M.,M.H.P.
Colposcopic Findings in Women with Vulvar Pain Syndromes
A syndrome characterized by burning vulvar discomfort and introital dyspareunia but associated with essentially normal physical findings was first described in 1889. Inexplicably, this problem virtually disappeared from society after the turn of the century, only to reappear about a decade ago. Over the last five years, the prevalence seems to have risen exponentially. Four recent North American series studied 181 such cases, and this paper describes another 77 women suffering from this syndrome.
By Richard Reid, M.D.
A syndrome characterized by burning vulvar discomfort and introital dyspareunia but associated with essentially normal physical findings was first described in 1889. Inexplicably, this problem virtually disappeared from society after the turn of the century, only to reappear about a decade ago. Over the last five years, the prevalence seems to have risen exponentially. Four recent North American series studied 181 such cases, and this paper describes another 77 women suffering from this syndrome.
By Richard Reid, M.D.
Bartholin’s Gland Removal
By Richard Reid, M.D.
By Richard Reid, M.D.
Vulvovaginal Pain Disorders
Applications in Urology and Gynecology
By Howard I. Glazer, Ph.D. Stanley C. Marinoff, MD, M.Ph.
Applications in Urology and Gynecology
By Howard I. Glazer, Ph.D. Stanley C. Marinoff, MD, M.Ph.
Establishing the Diagnosis of Vulvar Vestibulitis
The diagnosis [of vestibulitis] can be confirmed by electromyographic readings in the presence of at least three essential characteristics…
By Gordon White, F.A.C. Ven., M.H.P, M.F.P.H.M., Marek Jantos, M.A., M.A.Ps.S., A.I.M.M., and Howard Glazer, Ph.D.
The diagnosis [of vestibulitis] can be confirmed by electromyographic readings in the presence of at least three essential characteristics…
By Gordon White, F.A.C. Ven., M.H.P, M.F.P.H.M., Marek Jantos, M.A., M.A.Ps.S., A.I.M.M., and Howard Glazer, Ph.D.
Pelvic Floor Rehabilitation
Lifestyle, childbearing, participation in the work force and the desire to maintain physical fitness through sport and regular exercise contribute to an increased rise of pelvic floor related dysfunctions.
By Marek Jantos, M.A.
Lifestyle, childbearing, participation in the work force and the desire to maintain physical fitness through sport and regular exercise contribute to an increased rise of pelvic floor related dysfunctions.
By Marek Jantos, M.A.
An Overview of Surface Electromyography and Musculoskeletal Pain
The rationale for incorporation of SEMG in evaluation and treatment programs for patients with musculoskeletal pain syndromes.
By GLENN S. KASMAN, MS, PT
The rationale for incorporation of SEMG in evaluation and treatment programs for patients with musculoskeletal pain syndromes.
By GLENN S. KASMAN, MS, PT
Electromyographic Comparisons of the Pelvic Floor in Women with Dysesthetic Vulvodynia and Asymptomatic Women
This study compared pelvic floor surface (sEMG) readings in patients diagnosed with dysesthetic vulvodynia to those of matched, asymptomatic controls.
By Marek Jantos, M.A., Howard Glazer, Ph.D., Elizabeth Heaton Hartmann, P.T., and Charles Swencionis, Ph.D.
This study compared pelvic floor surface (sEMG) readings in patients diagnosed with dysesthetic vulvodynia to those of matched, asymptomatic controls.
By Marek Jantos, M.A., Howard Glazer, Ph.D., Elizabeth Heaton Hartmann, P.T., and Charles Swencionis, Ph.D.
Sexual Behaviour Changes with Vulvar Vestibulitis Syndrome
Sexual activity is an important part of wellness behaviour. Physical and emotional health are integral to human sexual functioning and enable the experience of pleasurable fulfillment that is inherent in sexual intimacy.
By Gordon White, F.A.C. Ven., M.H.P, M.F.P.H.M., Marek Jantos, M.A.
Sexual activity is an important part of wellness behaviour. Physical and emotional health are integral to human sexual functioning and enable the experience of pleasurable fulfillment that is inherent in sexual intimacy.
By Gordon White, F.A.C. Ven., M.H.P, M.F.P.H.M., Marek Jantos, M.A.