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Vulval vestibulitis: a common cause of dyspareunia?
Pat Munday1, John Green, Carina Randall
1Watford Sexual Health Centre, West Hertfordshire Hospitals NHS Trust, Watford General Hospital, Vicarage Road, Watford WD18 0HB, UK.
Abstract:
The prevalence of vulval vestibulitis was evaluated in a prospective observational study. Four hundred women from West Hertfordshire, 100 each from community family planning, antenatal, general practice and genitourinary clinics were investigated. Participants completed a questionnaire and were examined for vulval erythema and point tenderness. An algesiometer was also used to evaluate tenderness. The prevalence of vestibulitis varied from 2.9% to 9.8% depending on the stringency of diagnostic criteria and the method of ascertaining pain. Vulval vestibulitis cannot be accurately defined by current criteria, but superficial dyspareunia appears to be a frequent problem in the community in women consulting for unrelated matters.
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