Acupuncture for the treatment of vulvar vestibulitis: A pilot study

Danielsson, Ingela; Sjöberg, Inga; Östman, Christina

doi:10.1080/j.1600-0412.2001.080005437.x

Cited by 17 publications

(34 citation statements)

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“…We suggest that conservative treatments be applied as ®rst choice and that surgery be recommended only after other treatments have failed. We have tried treatments used for other chronic pain conditions, such as acupuncture and eye movement desensitisation and reprocessing therapy, with promising results 47 . Other possible treatments are cognitive psychotherapy and electromyographic bio-feedback 48 .…”

Section: Discussionmentioning

confidence: 99%

Vulvar vestibulitis: a multi-factorial condition

Danielsson

Eisemann

Sjöberg

et al. 2001

British Journal of Obstetrics and Gynaecology

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Objective To study differences in somatic symptoms and personality dimensions between women with vulvar vestibulitis and a non-symptomatic control group.Design A case±control study conducted in 1998.Setting Two clinics in northern Sweden. Sample Thirty-eight women, 18±25 years of age, suffering from vulvar vestibulitis, and 70 healthy controls.Methods The women completed two questionnaires: the temperament and character inventory to study personality aspects, and the Giessen subjective complaints list, which is a checklist of subjective bodily complaints.Results Regarding personality aspects the women with vulvar vestibulitis scored signi®cantly higher than the control group, on exclusively one out of seven subscales of the temperament and character inventory (i.e. harm avoidance). This trait is considered to be partly inherited and stable throughout life, and to give the person a tendency to react to problems with pessimistic thoughts, increased anxiety and fatigue. On the Giessen subjective complaints list the women with vestibulitis reported a signi®cantly higher number of somatic complaints in several areas. ConclusionsThe ®ndings that women suffering from vulvar vestibulitis have more bodily complaints than the controls is interpreted as an indication of a psychosomatic element in their illness, which could be primary or secondary. Furthermore, these women are characterised by a particular personality trait, and it is suggested that this trait might in¯uence their experience and management of pain and stress. A multi-factorial origin of vulvar vestibulitis is advocated and a multimodal interdisciplinary treatment approach is suggested. To elucidate further the mechanisms behind this health problem, prospective controlled studies are urgently needed.

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Section: Discussionmentioning

confidence: 99%

Vulvar vestibulitis: a multi-factorial condition

Danielsson

Eisemann

Sjöberg

et al. 2001

British Journal of Obstetrics and Gynaecology

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“…Positive QOL factors were set as “sexual desire” and “joy of living” where VAS was reversed with 0 representing very dissatisfied and 100 very satisfied. The method has been used in evaluating chronic pain conditions and also in a treatment study for vulvar vestibulitis using acupuncture (30, 31). VAS was also used for questions regarding sexual functioning and coital pain.…”

Section: Methodsmentioning

confidence: 99%

EMG biofeedback versus topical lidocaine gel: a randomized study for the treatment of women with vulvar vestibulitis

Danielsson

Torstensson

Brodda-Jansen

et al. 2006

Acta Obstet Gynecol Scand

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125

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Four months' treatment with electromyographic biofeedback and topical lidocaine gave statistically significant improvements on vestibular pain measurements, sexual functioning, and psychosocial adjustments at the 12-month follow-up. No differences in outcome between the two treatments were observed but a larger sample may be needed to obtain significance. The treatments were well tolerated but the compliance to the electromyographic biofeedback training program was low. A combination of both treatments could potentially benefit many women with vulvar vestibulitis.

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“…Less well publicized methods of treatment such as acupuncture, local treatment using capsaicin, hypnosis and laser therapy are used to a lesser extent without any major documentation 55–57. For the clinician, it is important to be aware that a cure is not achieved in a short time despite using the apparently correct treatment measures.…”

Section: Materials and Methodologymentioning

confidence: 99%

Vulvodynia. Definition, diagnosis and treatment

Petersen

Lundvall

Kristensen

et al. 2008

Acta Obstet Gynecol Scand

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Vulvodynia is a chronic painful disorder with an estimated prevalence of 9-12%. A rising incidence of the condition constitutes a growing problem. This has lead to an increased focus on etiology and treatment, while the definition also requires attention. Previous assumptions stating that the problem is solely a psychological disorder have been abandoned, because inflammatory mechanisms and genetic factors have been found to be involved in the pathogenesis as well as psychosexual contributors. This article describes the terminology and definition of the condition, theories on patho-physiological mechanisms underlying the disorder, methods of diagnosis and evidence and recommendations on clinical management. A critical examination of the literature regarding vulvodynia reveals numerous strategies and recommendations for treatment, many of which are not evidence-based, and a lack of effective treatment for all patients. Research is being undertaken internationally to find more specific and unequivocal causes of the disorder, as well as to develop evidence-based methods of treatment.

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Acupuncture for the treatment of vulvar vestibulitis: A pilot study

Cited by 17 publications

References 0 publications

Vulvar vestibulitis: a multi-factorial condition

Vulvar vestibulitis: a multi-factorial condition

EMG biofeedback versus topical lidocaine gel: a randomized study for the treatment of women with vulvar vestibulitis

Vulvodynia. Definition, diagnosis and treatment

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