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J Reprod Med. 2000 Aug;45(8):679-84.

Clinical profile of vulvodynia patients. A prospective study of 300 patients.

Author information

1
Department of Obstetrics and Gynaecology, Vancouver Hospital and Health Sciences Center, University of British Columbia, Canada.

Abstract

OBJECTIVE:

To define the demographic and clinical characteristics of women presenting with vulvodynia.

STUDY DESIGN:

Vulvodynia patients seen by the author between September 1996 and June 1999 were included in the study. Patients completed a standardized questionnaire and were interviewed and clinically examined.

RESULTS:

Three hundred one patients completed the questionnaire. The average age was 38 years old, 72% reported postsecondary education, 54% were nulligravid, and 55% were married. Average duration of symptoms was 38 months. Patients reported dyspareunia (71%), vulvar burning (57%) and vulvar itching (46%). One-third reported problems with sexual response. The majority (64%) reported a "history" of yeast infections. Over 64% of the time all therapeutic interventions tried by patients made the vulvar symptoms no better or worse. Approximately 55% reported another chronic health condition. Positive physical findings were often limited to inflammation in the vestibule (25%) and pain on palpation of the posterior vestibule (69%). Patients reported that their vulvodynia limited their physical activities.

CONCLUSION:

Physicians should approach management of vulvodynia using a chronic pain model that emphasizes multidisciplinary health care and "improvement" in health, rather than single interventions and cure of disease.

PMID:
10986689
[Indexed for MEDLINE]

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