2015 ISSVD, ISSWSH and IPPS Consensus Terminology and Classification of Persistent Vulvar Pain and Vulvodynia

Bornstein, Jacob; Goldstein, Andrew T.; Stockdale, Colleen K.; Bergeron, Sophie; Pukall, Caroline F.; Zolnoun, Denniz; Coady, Deborah

doi:10.1097/aog.0000000000001359

Cited by 252 publications

(211 citation statements)

References 22 publications

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“…In our study, vulvodynia was subcategorized as "localized" or "generalized", which is based on the old terminology in use during the study period. The new, "2015 consensus terminology and classification of persistent vulvar pain and vulvodynia" [2] has more pain descriptors (i.e. onset, temporal pattern) and our study subcategorizes VD pain only by its location.…”

Section: Discussionmentioning

confidence: 99%

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Vulvodynia—Younger Age and Combined Therapies Associate With Significant Reduction in Self-Reported Pain

Aalto

Vuoristo

Tuomaala

et al. 2017

J Low Genit Tract Dis

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Correspondent: Anu Aalto, anu.aalto@hotmail.com, tel.+358 40 55232953 Précis: Combination of treatments is the most effective option for vulvodynia patients in terms of pain reduction. 4 AbstractObjectives: 8 % of women suffer from vulvodynia (VD), a chronic pain disorder with unknown etiology. Aims of our study were to assess the efficacy of given VD treatments measured by numerical self-reported pain score (NRS) and patients' quality of life.Methods: Study material consisted of a retrospective VD patient cohort (n=70). Data was collected by postal questionnaires and review of the medical records.Results: We report here a statistically significant reduction in NRS only with combination of therapies (median NRS before treatments 8 vs. median NRS 4 after treatments, p<0.001) but not with any individual therapy alone i.e. physiotherapy, topical medications, oral pharmaceutical therapy, sexual counseling by a trained nurse, sacral neuromodulation, laser treatment or surgery. Older age (>30) and frequent (≥6) outpatient clinic visits associated with a significantly minor reduction in NRS (p=0.03 and p=0.04, respectively).Conclusions: The results of this retrospective study suggest, that an effective, multimodality-based treatment is most beneficial for VD patients, and VD at older age may represent a subtype more resistant to therapy.

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Section: Discussionmentioning

confidence: 99%

“…4 (2-7) 1) P-value based on NRS score reduction before and after treatments of treated and not treated patients 2) All NRS numbers reported, not interquartile range…”

mentioning

confidence: 99%

Vulvodynia—Younger Age and Combined Therapies Associate With Significant Reduction in Self-Reported Pain

Aalto

Vuoristo

Tuomaala

et al. 2017

J Low Genit Tract Dis

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“…Vulvodynia is often associated with GPPPD and sexual pain, though not all cases of GPPPD are necessarily caused by vulvodynia [3]. Vulvodynia is not itself classified as a sexual dysfunction, but is a term used to describe a type of chronic genital pain that is present with or without sexual contact [5]. Table 1 summarizes correct terminology between the two conditions.…”

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confidence: 99%

“…It may be generalized or localized to a specific area, and provoked by contact or unprovoked (i.e., spontaneous) [4,5]. Vulvodynia is often associated with GPPPD and sexual pain, though not all cases of GPPPD are necessarily caused by vulvodynia [3].…”

mentioning

confidence: 99%

“…There are two main subtypes of vulvodynia: provoked vestibulodynia (PVD), characterized by localized provoked pain at the vaginal vestibule (introitus), and generalized vulvodynia (GVD) characterized by unprovoked, diffuse burning pain throughout the entire vulva [4,5]. PVD is thought to be the most common cause of introital dyspareunia, affecting up to 8% of reproductive age women [6,7].…”

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confidence: 99%

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Genito-Pelvic Pain/Penetration Disorder (GPPPD): An Overview of Current Terminology, Etiology, and Treatment

Conforti

2017

UOJM

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Genito-Pelvic Pain/Penetration Disorder (GPPPD) is a relatively new diagnostic category of female sexual dysfunction, which was introduced during the release of the DSM-5 in 2013. GPPPD reflects the combination of two previous categories of female sexual dysfunction, dyspareunia and vaginismus, into one entity. As such, there is confusion surrounding the proper terminology and diagnostic criteria used when evaluating female sexual or genital pain. This review article attempts to clarify the terminologies used within the medical and scientific community, and provides an overview of current views on etiology and treatment. The likely biological antecedents to genital pain are an exaggerated and prolonged inflammatory response in the vestibular mucosa causing neuroproliferation, and leading to eventual hyperalgesia, allodynia, and pelvic muscle tension in the genital region. These processes interact with psychosocial factors to produce chronic pain. Treatment includes education, CBT, pelvic floor physiotherapy, medical interventions, and surgical interventions, though sexual function may be optimized through a multifaceted approach. RésuméLa GPPPD est une catégorie diagnostique relativement récente de la dysfonction sexuelle féminine, qui a été introduite dans le DSM-5 en 2013. La GPPPD reflète la combinaison de deux catégories précédentes de dysfonctionnement sexuel féminin, la dyspareunie et le vaginisme, en une entité. En tant que tel, il existe une confusion entourant la terminologie appropriée et les critères de diagnostique utilisés lors de l’évaluation de la douleur sexuelle ou génitale féminine. Cet article de revue tente de clarifier les terminologies utilisées dans la communauté médicale et scientifique et donne un aperçu des points de vue actuels sur l’étiologie et le traitement. Les antécédents biologiques probables à la douleur génitale sont une réponse inflammatoire exagérée et prolongée dans la muqueuse vestibulaire entraînant une neuroprolifération, et conduisant à une éventuelle hyperalgésie, allodynie et tension musculaire pelvienne dans la région génitale. Ces processus interagissent avec des facteurs psychosociaux pour produire une dou- leur chronique. Le traitement comprend l’éducation, la TCC, la physiothérapie du plancher pelvien, les interventions médicales et les interventions chirurgicales, bien que la fonction sexuelle puisse être optimisée par une approche multidimensionnelle.

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Psychological Management of Provoked Vestibulodynia

Pukall¹,

Bergeron²

2018

Textbook of Female Sexual Function and Dysfunction

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2015 ISSVD, ISSWSH and IPPS Consensus Terminology and Classification of Persistent Vulvar Pain and Vulvodynia

Cited by 252 publications

References 22 publications

Vulvodynia—Younger Age and Combined Therapies Associate With Significant Reduction in Self-Reported Pain

Vulvodynia—Younger Age and Combined Therapies Associate With Significant Reduction in Self-Reported Pain

Genito-Pelvic Pain/Penetration Disorder (GPPPD): An Overview of Current Terminology, Etiology, and Treatment

Psychological Management of Provoked Vestibulodynia

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