Report of the International Society for the Study of Vulvovaginal Disease Terminology and Classification of Vulvodynia

The University of Michigan Center for Vulvar Diseases, The University of Michigan Hospitals, Ann Arbor, MI 48109, USA.
Journal of Lower Genital Tract Disease (Impact Factor: 1.99). 02/2007; 11(1):48-9. DOI: 10.1097/01.lgt.0000225898.37090.04
Source: PubMed
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    • "A woman’s symptoms may be “generalized” to the whole vulva (generalized vulvodynia) or “localized” to a specific area such as the clitoris (clitorodynia) or the vestibule of the vagina (vestibulodynia). The pain may be “provoked” (caused by direct touch, inserting a tampon, or sexual touch), “unprovoked” (present without touch), or have a “mixed” pattern.1 "
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    ABSTRACT: Chronic vulvar pain or discomfort for which no obvious etiology can be found, ie, vulvodynia, can affect up to 16% of women. It may affect girls and women across all age groups and ethnicities. Vulvodynia is a significant burden to society, the health care system, the affected woman, and her intimate partner. The etiology is multifactorial and may involve local injury or inflammation, and peripheral and or central sensitization of the nervous system. An approach to the diagnosis and management of a woman presenting with chronic vulvar pain should address the biological, psychological, and social/interpersonal factors that contribute to her illness. The gynecologist has a key role in excluding other causes for vulvar pain, screening for psychosexual and pelvic floor dysfunction, and collaborating with other health care providers to manage a woman's pain. An important component of treatment is patient education regarding the pathogenesis of the pain and the negative impact of experiencing pain on a woman's overall quality of life. An individualized, holistic, and often multidisciplinary approach is needed to effectively manage the woman's pain and pain-related distress.
    Full-text · Article · May 2014 · International Journal of Women's Health
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    • "2–3; Binik, Bergeron, & Khalif, 2007); however the focus of this review is vulvodynia. Vulvodynia can be generalized, affecting the entire vulva, or localized, affecting only a specific area such as clitorodynia or vestibulodynia (Haefner, 2007). Furthermore it is classified as provoked, meaning direct pressure on the vulva causes pain, or unprovoked, where the pain appears spontaneously and can be unrelenting, or is classified as mixed (i.e., both provoked and unprovoked) (American Psychiatric Association, 1994). "
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    ABSTRACT: Distress about a sexual problem is a necessary part of diagnosing female sexual dysfunction. It is an important way to distinguish between a sexual problem and normal sexual variation and has implications for treatment seeking, motivation for therapy and prognosis. The concept of distress, however, has not been clearly defined and is complex and poorly understood. Furthermore, there has been limited research into distress related to genital pain disorders. This paper explores the concept of distress within the field of vulvodynia research, specifically the distress that results from genital pain. Due to the limited research into distress relating specifically to genital pain this review will contextualise the available literature within the larger context of distress related to other female sexual dysfunctions. The discussion includes the current and future Diagnostic and Statistical Manual definitions for genital pain, as well as general definitions of distress. It also explores distress in the genital pain and general female sexual dysfunction literature and discusses its diagnostic, research and clinical implications.
    Full-text · Article · Feb 2012 · Sexual and Relationship Therapy

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