Vulvodynia

Obstet Gynecol Clin North Am. 2014 Sep;41(3):453-64. doi: 10.1016/j.ogc.2014.05.005. Epub 2014 Jul 9.

Abstract

Vulvar pain and discomfort (vulvodynia) are common conditions that can have a significant impact on a patient's quality of life. Vulvodynia is a difficult condition to evaluate and treat. This article gives the primary gynecologist a basic framework with which to identify, diagnose, and begin treatment for these patients and refer if necessary. Initial evaluation and physical examination are discussed in detail. Treatments ranging from self-management strategies to nonpharmacologic and pharmacologic therapies will be explored. Because vulvodynia is a chronic pain disorder, diagnosis is the key to beginning treatment and support for this patient population.

Keywords: Vaginismus; Vulvar pain; Vulvodynia.

Publication types

  • Review

MeSH terms

  • Anesthetics, Local / therapeutic use*
  • Anticonvulsants / therapeutic use
  • Female
  • Humans
  • Pain / etiology*
  • Pain / prevention & control
  • Pain / psychology
  • Physical Examination / methods
  • Physical Therapy Modalities
  • Quality of Life / psychology*
  • Sexual Behavior
  • Social Support
  • Stress, Psychological
  • Treatment Outcome
  • Vaginismus* / diagnosis
  • Vaginismus* / psychology
  • Vaginismus* / therapy
  • Vulva / physiopathology*
  • Vulvodynia* / diagnosis
  • Vulvodynia* / psychology
  • Vulvodynia* / therapy

Substances

  • Anesthetics, Local
  • Anticonvulsants