The Vulvodynia Guideline

Abstract

Vulvodynia has many possible treatments, but very few controlled trials have been performed to verify efficacy of these treatments. Provided are guidelines based largely on expert opinion to assist the patient and practitioner in dealing with this condition.

Pelvic floor muscle function in women with provoked vestibulodynia and asymptomatic controls

“…It was well tolerated, and the method was found to be easy to use. The pressure was set at three vestibular sites; 4, 6 and 8 o'clock according to Haefner et al [19]. Q-tip test was measured in grams and used to quantify the force used when pressure were set against the skin (mucosa).…”

Vulvodynia: Strategies for Treatment

“…3). 33 Excision of the periurethral area should occur with caution not to compromise the angle of the urethra (Fig. 4).…”

Transmucosal delivery of macromolecules using vaginal electroporation to treat vestibulodynia: A pilot study

“…An inflammatory process in the vulvar skin could release a cascade of cytokines that sensitize the nociceptors resulting in a physical increase in the number of nerves. Furthermore, the local sensory pain nerves could become progressively more sensitized, and develop abnormal neuro-secretion with ulterior pain deterioration or persistence [2][3] There is no standard treatment of the disease, and few randomized controlled trials have been performed [4]. The recommendations are in favor of a multi-dimensional approach, focusing on the management of pain and restoration of proper pelvic floor function.…”