2013 Vulvodynia Guideline Update

  title={2013 Vulvodynia Guideline Update},
  author={Colleen K. Stockdale and Herschel W. Lawson},
  journal={Journal of Lower Genital Tract Disease},
Abstract Vulvodynia is a complex disorder that can be difficult to treat. Most patients describe it as burning, stinging, irritation, or rawness. Vulvodynia is a costly disease both economically and on its negative impact on patient quality of life. Although many treatment options are available, no one treatment is effective for all patients, thus the need to individualize management. Measures such as gentle vulvar care, medication, biofeedback training, physical therapy, sexual counseling and… 

Vulvodynia: Diagnosis and Management.

  • A. Stenson
  • Medicine
    Obstetrics and gynecology clinics of North America
  • 2017

Vulvar Pain and Vulvodynia

This chapter breaks myths about its causes and treatments emerged and the 2015 consensus terminology has changed the management paradigm of vulvar pain: now evaluation should be made according to the associated factor.

How to Make a Comprehensive Diagnosis of Vulvar Pain

Vulvar pain is challenging for patients and healthcare providers. It can be acute, recurrent, chronic, and neuropathic with or without premenstrual flares. Patients may present with a variety of

Committee Opinion No 673: Persistent Vulvar Pain

Although optimal treatment remains unclear, consider an individualized, multidisciplinary approach to address all physical and emotional aspects possibly attributable to vulvodynia.

Current concepts in vulvodynia with a focus on pathogenesis and pain mechanisms

Treatment for vulvodynia needs to follow a biopsychosocial model and be tailored to the patient, and a multimodal and multidisciplinary approach is often most effective.

Vulvar Pain: From the Diagnosis to Treatment Strategies

Vulvar pain is often multifactorial in origin and a multimodal approach to treatment should be considered.

Vulva and Pain

This complex pain syndrome can represent a challenge to healthcare providers, requiring interdisciplinary skills especially in the neurobiological and algological field, to avoid incorrect pathogenetic interpretations, inaccurate diagnosis, and inadequate treatment.

Vulvar Vestibulodynia: Strategies to Meet the Challenge

Proper vulvar hygiene is recommended, and traditional therapies such as topical medications and centrally acting oral medications may continue to play a role in treatment, but the optimal approach has yet to be defined.

A multidisciplinary approach to a patient with vulvodynia: a successful treatment and outcome

A 53-year-old postmenopausal woman that experienced vulvar and vaginal burning, and discomfort and pain during sexual intercourse for 3 years, which greatly reduced her quality of life (QOL) despite the absence of itch and genital skin lesions is presented.



Surgical treatment of vulvar vestibulitis: a review

It is concluded that surgical technique as such plays a relatively small role and surgery seems to be effective in vulvar vestibulitis, however, lack of randomized trials and insufficient data on complication rates must be emphasized.

Clinical and therapeutic aspects of vulvodynia: the importance of physical therapy.

Physical therapy using diverse techniques has an important role in multidisciplinary care, obtaining satisfactory results in the treatment of pelvic floor muscle dysfunction and thus improving the symptoms and quality of life in women with vulvodynia.

The Vulvodynia Guideline

Treatments described include general vulvar care, topical medications, oral medications, injectables, biofeedback and physical therapy, dietary changes with supplementations, acupuncture, hypnotherapy, and surgery.

Vulvodynia, a step-wise therapeutic prospective cohort study

  • G. VentoliniS. BarhanJ. Duke
  • Medicine, Biology
    Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology
  • 2009
Summary Vulvodynia is characterised by the presence of vulval allodynia (pain evoked by non-painful stimuli) and vulval dysaesthesias (burning, soreness, rawness, stinging and irritation). We

A Retrospective Study of the Management of Vulvodynia

Gabapentin and botulinum toxin A are safe and effective treatments for vulvodynia, and side effects were few and subsided with treatment with general antibiotics and nonsteroidal antiinflammatory drugs.

Peripheral Subcutaneous Vulvar Stimulation in the Management of Severe and Refractory Vulvodynia

Stimulation with subcutaneous electrodes provided relief from vulvodynia to a patient in whom all previous therapeutic approaches had failed.

Sacral Neuromodulation in the Treatment of Vulvar Vestibulitis Syndrome

Although the exact mechanism of action is unknown, sacral neuromodulation may be a viable option for the management of chronic pain syndromes of the vulva and vagina.

The role of vulvar skin biopsy in the evaluation of chronic vulvar pain.

Open-label trial of lamotrigine focusing on efficacy in vulvodynia.

It is suggested that treatment with lamotrigine in women with the vulvodynia subtype of CPP may be helpful in addressing both the pain and mood symptoms associated with this disorder.

Pregabalin-induced remission in a 62-year-old woman with a 20-year history of vulvodynia.

  • L. Jerome
  • Medicine, Psychology
    Pain research & management
  • 2007
The case presentation illustrates the role of pregabalin in successful medical management of this chronic pain disorder, as well as the management of common psychiatric morbidities associated with this condition.