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[2013 vulvodynia update].
1Consultation de dermatologie-pathologie vulvaire, institut Alfred-Fournier, 25, boulevard Saint-Jacques, 75014 Paris, France. clarence.de-belilovsky@wanadoo.fr
Gynecologie, Obstetrique & Fertilite
|August 27, 2013
Summary
Provoked vestibulodynia, a common cause of painful intercourse, involves neuropathic pain and vulvar hypersensitivity. Treatment requires a multidisciplinary approach addressing physical and psychological factors.
Area of Science:
- Gynecology
- Pain Medicine
- Psychosomatic Medicine
Context:
- Provoked vestibulodynia (PVD) is the leading cause of dyspareunia in premenopausal women.
- It involves neuropathic pain, vulvar hypersensitivity, and pelvic floor dysfunction.
- Associated conditions include fibromyalgia, painful bladder syndrome, and psychological distress.
Purpose:
- To summarize the understanding of provoked vestibulodynia.
- To outline diagnostic criteria and treatment strategies.
- To highlight the multifactorial nature of the condition.
Summary:
- PVD is characterized by burning pain and hypersensitivity, often linked to neuropathic pain mechanisms.
- Psychological factors like catastrophizing and fear-avoidance behaviors are common.
- Diagnosis relies on history, Q-tip testing, and excluding infections like candidiasis or vaginosis.
Impact:
- Effective treatment necessitates a multidisciplinary approach.
- Therapies include topical agents, pelvic floor physiotherapy, pain medication (antidepressants, anticonvulsants), and psychosexual support.
- Addressing PVD improves quality of life for affected women.
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