Patients with pelvic pain or sexual dysfunction, undergo a comprehensive evaluation, to determine the cause of their complaint, any associated predisposing factors, as well as the best course of therapy.

Conservative therapy for patients with vulvar/vaginal disorders is tailored to their presenting signs:

Adolescent patients are diligently screened and treated, for congenital anatomical variations, immune disorders, viral and bacterial infections, common to their age group.

Patients with Vulvar Vestibulitis Syndrome, usually benefit from anti-inflammatory/anti-allergenic therapy coupled with pelvic relaxation exercises.

Patients with Pelvic Muscles Myalgias and pudendal nerve sensitization -pudendal neuralgia-undergo pelvic physical therapy/biofeedback and pudendal nerve block when indicated.

Tricyclic anti-depressants and Neurontin are often used for vulvar-vaginal neuropathic pain control.

Patients with Deep Pelvic Pain undergo evaluation and therapy for endometriosis and pelvic adhesions.

Patients with Sexual Function Disorders, undergo full evaluation and therapy for such conditions as vaginismus, decreased libido and anorgasmia.

Surgical Plastic Repair of the vulva and perineum, is usually performed on patients who fail to respond to conservative therapy, or those who suffer from scars &/or recurrent tears of the perineum.

Patients are referred to Psychosexual Therapy and Gynecologic Physical therapy, provided by Johns Hopkins Medical Faculty at the Johns Hopkins Greenspring Station, when indicated.