By Alessandra Graziottin MD, Filippo Murina MD (auth.)
Chronic vulvar ache, or ‘vulvodynia’, is a typical challenge which can have a substantial impression at the health of sufferers. regardless of being obvious usually in daily scientific perform, it is still a ignored affliction that can take decades to diagnose.
This ebook eases the best way for physicians, together with basic Practitioners and Gynecologists, who're encouraged to enhance the lives of ladies being affected by vulvodynia.
By providing a concise review of the most recent details at the prognosis and administration of vulvodynia, and its quite a few comorbidities, in a simple to learn, ‘tips and methods’ layout, the e-book empowers physicians to quickly and successfully tackle the complicated and delicate matters surrounding the disorder.
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Additional info for Clinical Management of Vulvodynia: Tips and Tricks
The questionnaire consists primarily of three major classes of word descriptors - sensory, affective and evaluative - that are used by patients to specify subjective pain experience. It also contains an intensity scale and other items to determine the properties of the pain experience. The questionnaire was designed to provide quantitative measures of clinical pain that can be treated statistically. In conclusion, vulvar pain analysis and quantification is optimal for a comprehensive understanding of the patient’s experience and for effective treatment planning.
There are two major pain patterns in women with vulvodynia: vestibulodynia (vulvar vestibulitis syndrome) or generalized vulvodynia. Vestibulodynia, the most frequent type of vulvodynia, is defined as burning or pain that is localized strictly to the vestibule of the vulva and is provoked by pressure or friction in the vestibule. Pain is commonly associated with intercourse, tampon use, tight clothes, and bicycle riding, among others, and spontaneous pain is minimal or absent. The second pattern of vulvodynia is generalized vulvodynia, which is associated with burning or pain that is not limited to the vestibule and may occur without touch or pressure.
Pain perception is one of the most complicated measurable traits because it is an aggregate of several phenotypes associated with peripheral and central nervous system dynamics, responsiveness to stress and inflammatory state. Vulvodynia is defined as chronic vulvar pain in the absence of objective clinical or laboratory findings to explain the symptoms. Itching is absent or is a minor symptom that does not produce a need to scratch. Nevertheless, a good working definition for vulvodynia is a vulvar condition where the dominant symptom is a variation on the pain theme.