Vulvar Pain Vulvodynia
  Articles
 

Read stories written by women who have been treated for Vulvodynia.


Vulvodynia: The Development of a Psychosexual Profile (Abstract)

Understanding Chronic Pelvic Pain
The article examines some of the psychophysiological mechanisms evident in chronic pain syndromes especially when mediated by myofascial pelvic dysfunction.

Childbirth Practices and Women with Vulvodynia

MO Clinical Review: Vulvodynia Update

The Role of Biofeedback in the management of Vulvodynia
Application of Surface Electromyography in Chronic Vulvar Pain

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...

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%).

The Vestibulitis Syndrome
Medical and Psychosexual Assessment of a Cohort of Patients

Computerised Electromyography Biofeedback
Urinary Incontinence, Urogenital Pain, Faecal Incontinence

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.

Bartholin's Gland Removal

Vulvovaginal Pain Disorders
Applications in Urology and Gynecology

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...

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.

Surface Electromyography and Musculoskeletal Pain
The rationale for incorporation of SEMG in evaluation and treatment programs for patients with musculoskeletal pain syndromes.

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.

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.

Expert Series: Biofeedback and Incontinence
The Expert Series interviewed Barbara Woolner who has been incorporating biofeedback into her practice with incontinent patients for over 10 years. Ms. Woolner has also lectured extensively on the subject both in North America and in Europe and has recently won the Publisher's Manuscript Award from WOCN Journal for her article entitled; Biofeedback muscle re-education in gracilis muscles transposition after rectal trauma, 1997.

   
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