The Vulvodynia Guideline

@article{Haefner2005TheVG,
  title={The Vulvodynia Guideline},
  author={Hope K. Haefner and Michael 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… Expand

Paper Mentions

Interventional Clinical Trial
Vulvodynia is a very common but vastly under-diagnosed and under-treated gynaecological condition that leads to extreme suffering for both the women involved but also their… Expand
ConditionsVulvodynia
InterventionBehavioral
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The novel anticonvulsant gabapentin (GBP) has been reported effective in the treatment of a variety of chronic pain conditions, particularly those of neuropathic pain, and this is the first published report of its use in vulvodynia. Expand
Recalcitrant vulvodynia. A clinicopathological study.
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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%. Expand
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TLDR
Vulvar vestibulitis may be a syndrome that results from interacting pathophysiologic and psychologic factors, so that a comprehensive treatment approach is beneficial and women who have diffuse genital pain or who refuse psychologic intervention may be poor candidates for surgery. Expand
Safety and efficacy of topical nitroglycerin for treatment of vulvar pain in women with vulvodynia: a pilot study.
TLDR
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. Expand
Physical Therapy for Vulvar Vestibulitis Syndrome: A Retrospective Study
TLDR
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. Expand
Evaluation of the surgical treatment of vulvar vestibulitis.
TLDR
Perineoplasty has a role in the management of vulvar vestibulitis for women who do not achieve satisfactory relief of vulvodynia and/or dyspareunia with nonoperative treatments. Expand
Overnight 5% Lidocaine Ointment for Treatment of Vulvar Vestibulitis
TLDR
Long-term, nightly application of 5% lidocaine ointment shows promise as a treatment for management of vulvar vestibulitis; a randomized, double-blind, clinical trial is warranted. Expand
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TLDR
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. Expand
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  • Medicine
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TLDR
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. Expand
Dysesthetic ("essential") vulvodynia. Treatment with amitriptyline.
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TLDR
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. Expand
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