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Vulvar vestibulitis syndrome.

S C Marinoff1, M L Turner

  • 1George Washington University School of Medicine, Washington, DC.

Dermatologic Clinics
|April 1, 1992
PubMed
Summary
This summary is machine-generated.

Vulvar vestibulitis syndrome (VVS) causes chronic vulvar pain, often linked to HPV or yeast infections. While surgery helps severe cases, mild VVS may improve with conservative management.

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Area of Science:

  • Gynecology
  • Dermatology
  • Pain Medicine

Background:

  • Vulvar vestibulitis syndrome (VVS) is a primary cause of vulvodynia, characterized by chronic vulvar pain.
  • Symptoms include entry dyspareunia, vestibular erythema, and localized tenderness within the vulvar vestibule.
  • The exact etiology of VVS remains largely unknown, with many cases classified as idiopathic.

Purpose of the Study:

  • To review the clinical presentation, potential associations, and management strategies for VVS.
  • To highlight the importance of conservative management for milder forms of VVS.

Main Methods:

  • Review of existing literature on vulvar vestibulitis syndrome.
  • Analysis of associated conditions such as HPV infection, candidiasis, and altered vaginal pH.

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  • Evaluation of treatment outcomes for both surgical and conservative approaches.

    • Main Results:

    • VVS is associated with subclinical HPV infection, recurrent candidiasis, and altered vaginal pH.
    • Therapeutic interventions for these associated conditions can sometimes alleviate VVS symptoms.
    • Surgical excision of the vestibule is effective for chronic and severe VVS cases.

    Conclusions:

    • Vulvar vestibulitis syndrome is a significant contributor to chronic vulvar pain.
    • While surgical intervention is an option for severe cases, spontaneous remission occurs in milder forms.
    • Conservative and supportive management is crucial for patients with mild VVS.