The Vulvodynia Guideline

@article{Haefner2005TheVG,
  title={The Vulvodynia Guideline},
  author={Hope K. Haefner and M. E. Collins and Gordon D. Davis and Libby Edwards and David C. Foster and Elizabeth (Dee) Heaton Hartmann and Raymond H. Kaufman and Peter J. Lynch and Lynette J. Margesson and Micheline Moyal-Barracco and Claudia Kraus Piper and Barbara D. Reed and Elizabeth Gunther Stewart and Edward J. Wilkinson},
  journal={Journal of Lower Genital Tract Disease},
  year={2005},
  volume={9},
  pages={40-51}
}
Objective. To provide a review of the literature and make known expert opinion regarding the treatment of vulvodynia. Materials and Methods. Experts reviewed the existing literature to provide new definitions for vulvar pain and to describe treatments for this condition. Results. Vulvodynia has been redefined by the International Society for the Study of Vulvovaginal Disease as vulvar discomfort in the absence of gross anatomic or neurologic findings. Classification is based further on whether… 

Vulvodynia: A Review of the Literature

The literature was evaluated and several medication and alternative therapies may be effective in treating vulvodynia, a poorly understood disease with an unknown etiology.

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It can be concluded that vulvodinia’s management until right now has not been standardized yet because of its etiology.

Vulvodynia Interventions—Systematic Review and Evidence Grading

  • J. Andrews
  • Medicine, Psychology
    Obstetrical & gynecological survey
  • 2011
There is fair evidence for effectiveness of vestibulectomy for vestibulodynia; however, there is uncertainty about the size of the absolute effect, because of the risk of bias inherent in studies of pain interventions without a placebo control group.

Vulvodynia: integrating current knowledge into clinical practice

A multidisciplinary approach to tackle the different components of vulvodynia is required that includes a lead clinician with clinical psychologist, physiotherapist, psychosexual medicine clinician and pain management specialist.

Vulvodynia: integrating current knowledge into clinical practice

A multidisciplinary approach to tackle the different components of vulvodynia is required that includes a lead clinician with clinical psychologist, physiotherapist, psychosexual medicine clinician and pain management specialist.

Vulvar Pain: A Comprehensive Review

Physical therapists are encouraged to seek ongoing educational opportunities and interdisciplinary interactions in the area of vulvar pain conditions, to study and use appropriate measurement tools and outcome measures, and to engage in research to add the physical therapy perspective to the growing body of evidence in the literature.

Vulvodynia: strategies for treatment.

Vulvodynia is often described as a vulvar discomfort with sensations of burning, irritation, or rawness, and there is a category for pain that is both provoked and unprovoked (mixed).

Controversies surrounding the diagnosis and treatment of vulvodynia

A pragmatic approach is recommended for the management of patients with vulvar vestibulitis syndrome, and in refractory cases, vestibulectomy has a high success rate, although the evidence is mostly based on small, descriptive studies.

Treatment of Vulvodynia: Pharmacological and Non-Pharmacological Approaches

Vulvodynia is a common, recurrent, vulvar pain condition with debilitating consequences for affected women’s health and quality of life. The heterogeneity of women suffering from vulvodynia as well

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.
...

References

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Although interferon-alpha-2b offers much promise for the treatment of vulvodynia caused by subclinical HPV infection, the complete cure rate was only 58%.

Psychosexual aspects of the evaluation and management of vulvar vestibulitis.

Safety and efficacy of topical nitroglycerin for treatment of vulvar pain in women with vulvodynia: a pilot study.

Topical nitroglycerin is safe and effective in providing temporary relief of introital dyspareunia and vulvar pain in women with vulvodynia and a larger placebo-controlled study is necessary to establish the optimum dosage level and to minimize the side effects.

Physical Therapy for Vulvar Vestibulitis Syndrome: A Retrospective Study

It is demonstrated that physical therapy is a promising treatment modality for dyspareunia associated with vulvar vestibulitis and resulted in a significant decrease in pain experienced both during intercourse and gynecological examinations.

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Overnight 5% Lidocaine Ointment for Treatment of Vulvar Vestibulitis

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Treatment intervention studies seem to be indispensable in order to gain a better understanding of the complex interplay between different subsets of vulvodynia and psychological symptoms concurrently with differential treatment reactions.

Response to treatment in dysaesthetic vulvodynia

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  • Medicine
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Treatment with tricyclic drugs was part of a package of interventions including intensive support and the opportunity to take up counselling and there is a need for well-designed randomised controlled trials to evaluate this and other therapeutic approaches.

Dysesthetic ("essential") vulvodynia. Treatment with amitriptyline.

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  • Medicine, Psychology
    The Journal of reproductive medicine
  • 1993
Dysesthetic vulvodynia appears to be a subset different from vulvar vestibulitis and other types of vulVodynia that are less responsive to treatment with tricyclic antidepressants.

Vaginismus: an important factor in the evaluation and management of vulvar vestibulitis syndrome.

It has been the observation that a considerable percentage of patients with VVS present with concomitant vaginismus, and surgery is less successful in this subgroup of patients unless the vag inismus is first treated.
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