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Read stories written by women who have been treated for Vulvodynia.
Vulvodynia: The Development of a Psychosexual Profile (Abstract)
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.
Marek Jantos, M.A.
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.
MO Clinical Review: Vulvodynia Update
Richard Reid, M.D.
The Role of Biofeedback in the management of
Vulvodynia
Application of Surface Electromyography in Chronic Vulvar Pain
Marek Jantos, M.A..
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...
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%).
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
Marek Jantos, M.A. and Gordon White, F.A.C. Ven., M.F.P.H.M.,M.H.P.
Computerised Electromyography Biofeedback
Urinary Incontinence, Urogenital Pain, Faecal Incontinence
Marek Jantos, M.A.
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.
Richard Reid, M.D.
Bartholin's Gland Removal
Richard Reid, M.D.
Vulvovaginal Pain Disorders
Applications in Urology and Gynecology
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...
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.
Marek Jantos, M.A.
Surface Electromyography and Musculoskeletal
Pain
The rationale for incorporation of SEMG in evaluation and treatment
programs for patients with musculoskeletal pain syndromes.
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.
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.
Gordon White, F.A.C. Ven., M.H.P,
M.F.P.H.M., Marek Jantos, M.A.
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.
Barbara Woolner, R.N., C.C.N.,
C.R.N.A., B.C.I.A.
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