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Vulvodynia is defined as chronic vulvar discomfort of 3 months duration
or longer. The pain is often described as burning, stinging, itching,
throbbing, stabbing, or rawness. These symptoms which can be either
continuous or intermittent often interfere with the ability of women
to have vaginal intercourse-Introital
Dyspareunia-, wear tight clothing, exercise, or even sit down.
Vulvodynia affects roughly 16% of the female population. Approximately 5% of all women will experience this condition before age 25. Although all ethnic groups can be affected, it seems to be most prevalent among Hispanics.
The etiology of Vulvodynia is diverse and comprises conditions such
as: Vulvar Vestibulitis Syndrome,
Pelvic Muscles Neuralgias, and Pudendal, Ilioinguinal, or Genitofemoral
Neuralgias.
Associated conditions include: Interstitial cystitis, irritable
bowel syndrome, chronic pelvic pain, fibromyalgia,
and myofascial dysfunctions.
Patients with vulvodynia undergo a thorough examination to rule out associated visceral or gynecologic conditions. Treatment is tailored individually to the patient's presenting signs and symptoms. It may include anti-inflammatory therapy, diet modifications, anti-depressants, anti-allergenic therapy, physiotherapy, biofeedback, and surgery.
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