81. Treatment Options For Vulvodynia Treatment Options for vulvodynia as presented by Deborah A. Metzger, MD, AssociateClinical Professor, Stanford University, at the Women's Sexual Health State http://www.newshe.com/articles/vulvodyniatreatment.shtml

What is the Potential Role for Nerve-sparing Hysterectomy? Observations after Viagra Study on "Estroginized" Women Is Released Sexuality Education in Communities of Color: An Oxymoron? "Viagratization" of America Non-Pharmacological Possibilities for Treating Female Sexual Dysfunction Now on the Horizon Female Sexual Dysfunction: Definitions, Causes and Potential Treatments For Women Only: A Revolutionary Guide to Overcoming Sexual Dysfunction and Reclaiming Your Sex Life Book Sexual Self Assessment Questionnaire Patient Experience Survey E-mail Us Our Answers to Your E-mail Questions ... Our answers to your email questions Treatment Options for Vulvodynia as presented by Deborah A. Metzger, MD, Associate Clinical Professor, Stanford University, at the Women's Sexual Health State-of-the-Art series February 2002. Edited for length. Vulvodynia literally means pain in the vulva. It is characterized by itching, burning, stinging and stabbing in the area around the opening of the vagina. Pain can vary from constant to intermittent, or only occur on attempted vaginal penetration with sexual intercourse. Symptoms of vulvodynia may range from mildly irritating to completely disabling. While a distinct sore, or area of redness may be visible, often the vagina shows no abnormalities or infections when examined by a gynecologist. Unfortunately, many doctors are unaware that these conditions even exist, and may mistakenly suggest that the pain is a psychological condition. It is common for women to suffer for many years and see many doctors before being correctly diagnosed. You should check with your physician for diagnosis and the best treatment options for you. Do not try to diagnose and treat vulvodynia yourself! This document is for informational purposes only.

82. Go Ask Alice!: What Is Vulvodynia And Vulvular Vestibulitis? WHAT IS vulvodynia AND VULVULAR VESTIBULITIS? (1) Dear Alice,. I have been told thatI may have vulvodynia and am trying to find information in regards to this. http://www.goaskalice.columbia.edu/2278.html

WHAT IS VULVODYNIA AND VULVULAR VESTIBULITIS? Dear Alice, I have been told that I may have Vulvodynia and am trying to find information in regards to this. Could you please elaborate? I am having trouble locating a doctor who is "up" on this and the treatment. What do you suggest? -Grateful Dear Alice, I have been diagnosed with a condition called Vulvodynia and have been put on antidepressants. I hate being on these, I feel tired all day because I don't sleep well, I have lots of burning windy tummy aches, I get hot flashes, I am 36, and I feel like life is no fun anymore. I want to come off the antidepressants. Do you know of any self help ideas for vulvodynia or vestibulitus? I feel desperate for help and my doctor is not easy to talk to. I have had to give up work due to this, and don't feel able to look forward to anything in case I am ill. I hope you can help. Love, Stacey Dear Grateful and Stacey, Many women experience "unexplained" pain in their vulva. For some of these women, vulvar pain is a vexing problem. Unfortunately, some are told that the pain is "all in their head" since visible symptoms are rare. Others are diagnosed with Vulvodynia or Vulvular Vestibulitis. The reality is that these are real conditions for which little information is known. It is challenging to find a health care provider with whom you feel comfortable and who is knowledgeable about these vulvar conditions. Also, while some treatments are available, they don't work for everyone. For these reasons, it is not uncommon for women who are correctly diagnosed to become frustrated and experience feelings of desperation.

83. Vulvodynia < Anatomy < Public < Vagina Vérité vulvodynia – the pain you can't explain, vulvodynia is a painful chronicvulvar disease with enormous discomfort and pain. Complaints http://www.vaginaverite.com/vulvodynia01.html

vagina diagram reproductive cycle designer vaginas menstrual cycle choice equality safety voice back to public featured private project reference public public anatomy : vulvodynia email on anything anytime Vulvodynia is a painful chronic vulvar disease with enormous discomfort and pain. Complaints range from burning, stinging, swelling, itching, irritation and rawness of the female genitalia; however, Vulvodynia pain is highly individualized. The condition varies in persistence and location. Pain may be constant or intermittent, localized or diffuse. In many cases of Vulvodynia, pain occurs spontaneously. Currently there is no cure for Vulvodynia. Vulvodynia interferes with daily functioning, such as sitting walking and most other physical activity. It often affects one's ability to engage in sexual activity. It can impair one's ability to work, and participate in a social life. These limitations often lead to depression and thoughts of suicide. It is common for a woman to consult up to 12 doctors before obtaining an accurate diagnosis.

84. Vulvodynia: The Pain You Can't Explain < Featured < Vagina Vérité featured vulvodynia the pain you can't explain, email on anythinganytime. vulvodynia – the pain you can't explain, vulvodynia http://www.vaginaverite.com/featured.html

select another private project public reference featured : vulvodynia: the pain you can't explain email on anything anytime Vulvodynia is a painful chronic vulvar disease with enormous discomfort and pain. Complaints range from burning, stinging, swelling, itching, irritation and rawness of the female genitalia; however, Vulvodynia pain is highly individualized. The condition varies in persistence and location. Pain may be constant or intermittent, localized or diffuse. In many cases of Vulvodynia, pain occurs spontaneously. Currently there is no cure for Vulvodynia. Vulvodynia interferes with daily functioning, such as sitting walking and most other physical activity. It often affects one's ability to engage in sexual activity. It can impair one's ability to work, and participate in a social life. These limitations often lead to depression and thoughts of suicide. It is common for a woman to consult up to 12 doctors before obtaining an accurate diagnosis. If you suffer from Vulvodynia and you're looking for support, check out

85. Florida State University College Of Medicine Digital Library vulvodynia Clinical Resources. Miscellaneous vulvodynia Clinical ResourcesHealth Reviews for Primary Care Providers on the Internet Homepage http://fsumed-dl.slis.ua.edu/clinical/gynecology/vaginaldiseases/vulvodynia.html

Clinical Resources by Topic: Gynecology Vulvodynia Clinical Resources Clinical Guidelines News Miscellaneous Resources See also: Gynecological Clinical Procedures General Gynecolgy Clinical Resources Vulvodynia Patient/Family Resources Ryan: Kistner's Gynecology and Women's Health 7th Ed.-1999 (MD Consult): Table of contents Medical Library subscription INFO Chapter 4 - The Vulva: Access document Walsh: Campbell's Urology 8th Ed.-2002 (MD Consult): Table of contents Medical Library subscription INFO Chapter 48 - Female Sexual Function and Dysfunction: Access document Introduction: Access document Female Sexual Anatomy and Physiology: Access document Female Sexual Dysfunction: Access document Summary: Access document Other MD Consult Reference Books: Table of contents Medical Library subscription INFO All MD Consult Reference Books for Medicine, Ob/Gyn, Psychiatry, and Surgery (eMedicine): Table of contents Gynecologic Pain: Access document CliniWeb: Homepage (includes links to targeted PubMed MEDLINE searches) Vaginitis: List of documents Clinical Guidelines MD Consult Practice Guidelines: Table of contents Keyword search Medical Library subscription INFO Cervical/Vaginal Diseases: List of documents National Guideline Clearinghouse: MeSH browse Detailed search Vaginitis (MeSH browse): List of documents News Resources Doctor's Guide to the Internet Homepage Gynaecology/Obstetrics News: List of documents Vulvodynia (Keyword search): List of documents MD Consult: Homepage Medical Library subscription INFO Today in Medicine Table of content (scroll down to Obstetrics and Gynecology)

86. Vulvodynia - Toward Understanding A Pain Syndrome About NICHD Organization - CPR - RSB - Workshops, Conferences Meetingsvulvodynia - Toward Understanding a Pain Syndrome April http://www.nichd.nih.gov/cpr/rs/vulvodynia.htm

Home Search Sitemap Contact ... RSB Vulvodynia - Toward Understanding a Pain Syndrome April 14 - 15, 2003 National Institute of Child Health and Human Development Lister Hill Auditorium National Institutes of Health, DHHS Bethesda, Maryland Preliminary Program The aims of this workshop are: 1) to present an overview of the science and epidemiology of vulvodynia; 2) to elucidate the fundamental mechanisms of vulvodynia and related pain syndromes; 3) to stimulate innovative research approaches to studying vulvodynia; and 4) to develop clinical strategies for the appropriate and evidence-based methods of alleviating vulvar pain. Preliminary Agenda Meeting Registration Form (6.90KB PDF Format) To view a PDF file, you will need Adobe Acrobat Reader. Get Acrobat Reader NICHD Home NIH Home DHHS Home ... Top of Page

87. Vulvodynia - New Treatments, February 5, 2003 Click here to view. vulvodynia New Advances in Management. DEFINITIONAND HISTORICAL ASPECTS. vulvodynia RELATED TO INFECTION AND DERMATOSES. http://www.medical-library.org/journals2a/vulvodynia.htm

This page has moved. Click here to view. VULVODYNIA New Advances in Management DEFINITION AND HISTORICAL ASPECTS Vulvodynia is defined as symptoms of chronic vulval soreness, burning, or pain, as opposed to pruritus or itching. The term vulvodynia was adopted as a general heading, and where cause was unfounded, such as an active dermatosis or acute infection. Currently, vulvodynia applies to this set of symptoms, whatever their origin; it is often nonetheless applied only to those cases in which the cause is VULVODYNIA RELATED TO INFECTION AND DERMATOSES This form of vulvodynia stems from erosion of the surfaces and is common in such conditions as fissured lichen sclerosus, erosive lichen planus, herpes simplex, or severe Candida infection. It can be confirmed or excluded by history and examination. The symptoms usually subside when the underlying condition is treated. Occasionally symptoms persist, and the patient is then best considered as having dysesthetic vulvodynia , which is Cyclical vulvitis holds an uncertain place in classification, mainly because in itself it is not well defined, but it is best noted here. It concerns patients who have cyclical symptoms and may respond to prolonged anti-

88. Diagnose-Me: Conditions: Vulvodynia / Vestibulitis vulvodynia / Vestibulitis, If menstrual pads are too painful, you may use rolls ofabsorbent cotton. Signs, symptoms indicators of vulvodynia / Vestibulitis http://www.diagnose-me.com/cond/C510175.html

Home FAQ Start The Analyst Last updated: Feb 19, 2003 Vulvodynia / Vestibulitis Signs, symptoms and indicators Conditions that suggest it Contributing risk factors Recommendations Vulvodynia is a medical term that means 'painful vulva'. The term can cover a wide variety of vulvar pain syndromes including various infections and skin disorders. Some cases of vulvodynia may be due to compression or disease of the pudendal nerve, one of the main nerves that relays sensation to and from the genitals. The term is also used to refer to vestibulitis or Vulvar Vestibulitis Syndrome (VVS), which is an inflammation of the vestibule, or opening into the vagina and the tissues immediately around the vaginal opening. This condition is sometimes also called 'vestibular adenitis'. In a few people vulvodynia clears up on its own after 6-12 months. In mild cases, a burning or stinging sensation is noted during intercourse or when tampons are inserted. Upon touching the area with a cotton swab, pain is felt when the hymen and inner vaginal lips are touched. There also may be redness and swelling. In severe cases, the pain can be agonizing and much of the vulvar can be reddened, swollen and very inflamed. Often the edges of the inner vaginal lips are very sensitive and the pain so severe that it makes walking difficult. There may be a constant itching or stinging sensation in the grooves between the large and small vaginal lips. Wearing underwear may be very uncomfortable as the slightest touch to the area may result in excruciating pain.

89. Vulvodynia (vulvar Pain Syndrome) vulvodynia (vulvar pain syndrome). vulvodynia is divided into cases withorganic causes and cases with essential or dysesthetic causes. http://www.rush.edu/worldbook/articles/022000a/022000083.html

90. MedWebPlus Web Site ID 1763 A free service to help you find health sciences information quickly and easily.WellnessWeb vulvodynia. http//www.wellweb.com/INDEX/Qvulvodynia.HTM http://www.medwebplus.com/obj/1763

Main About MWP Contribute to MWP Contact Us A service of Flexis, Inc. Welcome to MedWebPlus 2.3! A free service to help you find health sciences information quickly and easily. WellnessWeb Vulvodynia http://www.wellweb.com/INDEX/QVULVODYNIA.HTM Uptime grade: A Usage grade: Popularity: N/A Location: North America United States Pennsylvania Villanova Subjects: All Diseases Diseases and Conditions Patient Education Vulvar Diseases ... Privacy statement Powered by y-Base

91. Interstitial Cystitis Network : Patient Handbook : Related Conditions : Vulvodyn You are here IC Network Patient Handbook Related Conditions vulvodynia. An Introduction to vulvodynia. What is vulvodynia? http://www.ic-network.com/handbook/vulvodynia.html

If the ICN has helped you and/or given you comfort during those difficult nights, we hope that you will become a subscriber. Customer Support Created: February 25, 1999 Revised: September 22, 1999 By: Diane Manhattan You are here: IC Network Patient Handbook Related Conditions > Vulvodynia Chinese French German Italian Japanese Korean Russian Spanish An Introduction to Vulvodynia What is vulvodynia? Vulvodynia is chronic vulvar discomfort or pain, characterized by complaints of burning, stinging, irritation or rawness of the female genitalia. Burning sensations are the most common, but vulvodynia pain is highly individualized. The condition varies in persistence and location. Pain may be constant or intermittent, localized or diffuse. Vulvar vestibulitis, a type of vulvodynia refers to pain experienced only when pressure is applied to the vestibule, the area surrounding the entrance to the vagina. Vulvodynia has also occasionally been referred to as pudendal neuralgia. How is vulvodynia diagnosed?

92. Interstitial Cystitis Network Research Library: Vulvodynia/Vulvar Studies Female interstitial cystitis patients often suffer from vulvodyniaand vulvar inflammation. Read 8. vulvodynia Diagnostic Patterns. http://www.ic-network.com/library/ravulva.html

If the ICN has helped you and/or given you comfort during those difficult nights, we hope that you will become a subscriber. Customer Support Please Read Revised: April 2000 HTML Revision: September 4, 2002 by: Diane Manhattan-Lopresti You Are Here: Interstitial Cystitis Network ICN Research Library : Vulvodynia Studies Interstitial Cystitis Coexisting with Vulvar Vestibulitis in a 4-year-old Girl. Selo-Ojeme DO, Paranjothy S, Onwude JL. Int Urogynecol J Pelvic Floor Dysfunct. Is there an association between vulvodynia and interstitial cystitis? Gunter J, Clark M, Weigel J. Obstet Gynecol 2000 Apr 1;95(4 Suppl 1):S4 Parallel pathologies? Vulvar vestibulitis and interstitial cystitis. Stewart EG - J Reprod Med 42(3), 131-134 (1997) Vulvar Pain Vulvar Pain Foundation, Spring 1993, Number 1 (FULL ARTICLE) Predicting the outcome of surgical treatment of vulvar vestibulitis. Stewart EG - J Reprod Med 42(3), 131-134 (1997) Establishing the diagnosis of vulvar vestibulitis. White G, et al- J Reprod Med 1997 Mar:42(3):157-160 Vulvar vestibulitis subjects undergoing surgical intervention: a descriptive analysis and histopathological correlates.

93. GPs Lecture 4 - Genital Dermatoses - Vulvodynia vulvodynia. Author Dr John Adams, Specialist Dermatologist, Wellington. Pleasenote, Dr Adams does not provide an online consultation service. vulvodynia. http://www.dermnetnz.org/gps/gplectures/gplect4/page8.html

Home GPs GP Lectures Vulvodynia Author: Dr John Adams , Specialist Dermatologist, Wellington. Send your comments on this lecture to Dr John Adams . Please note, Dr Adams does not provide an on-line consultation service. VULVODYNIA Vulvodynia is the name given to a group of painful vulval syndromes which are noninfectious and not sexually transmitted. A nonspecific inflammation occurring in the vulvar vestibule ( vulval vestibulitis ) is the commonest variant in the younger age group. This is sometimes associated with other "itis" problems such as abacterial urethritis and cystitis. The cause is unknown and the condition usually affects sexually active nulliparous women aged 20-30. Symptoms are those of pain and extreme tenderness to pressure especially with tampon insertion and intercourse. There is no itching or discharge. Intercourse is often impossible due to pain and secondary muscle spasm and if penetration is achieved there is often burning for hours afterwards. The inflamed area is internal and would not be expected to be aggravated by tight clothing or external friction. Signs are intense erythema usually situated in the folds between the hymenal ring and the posterior part of the vestibule. This area can be quite localised (even on one side) or more diffuse involving the inner aspects of the labia minora on both sides. There is often a 'granular' appearance of the inflamed mucosa leading to the previously held belief that

94. Vulvodynia And Vulvar Vestibulitis vulvodynia a severe and constant burning, pain or itching in the vulvar vestibular(the opening of the vagina) area. vulvodynia is hard to diagnose. http://www.bdsm-online.com/health/vv.htm

95. Pelvic Health In Women Sponsor. Pelvic Health in Women Understanding Chronic Pelvic Pain vulvodynia.by Diane K. Newman, RNC, MSN, CRNP, FAAN. Abstract. vulvodynia. http://secure.mymailservice.com/INCONT/pelvic_health.htm

Consumers Taking Charge WellnessWeb Homepage Centers Master Index Alternative Medicine Cancer Conventional Medicine ... Physician's Information Other About WellnessWeb Your Privacy Grass Roots Interviews ... WellnessWeb Bookstore Sponsored by: Click here to look at the books we have chosen - advertisement - We subscribe to the HONcode principles. Verify here Incontinence Center What's New Are You At Risk? How the Bladder Works Incontinence ... References Incontinence Center Director: Diane K. Newman, RNC, MSN, CRNP,FAAN Columnist: Eric Rovner, MD Sponsor Pelvic Health in Women: by Diane K. Newman, RNC, MSN, CRNP, FAAN Abstract The area of pelvic health in women is a growing area of concern for health care providers and well as women with disorders that involve the pelvic area (bladder, pelvic floor muscle, rectum and uterus. Chronic pelvic pain and vulvodynia, two frustrating pelvic disorders seen in young adult women, is not well understood. Research on these two conditions, which are often linked under the umbrella of “chronic pain syndromes”, is scarce, especially as it relates to successful treatments. Women with these complaints tend to visit specialists who provide non-surgical treatments for incontinence and other pelvic disorders because they seem appropriate. This article will provide an overview of the clinical picture of both conditions, describe specific evaluation techniques, and outline practical treatment options that can be provided.

96. Vulvodynia - A Pain In The Vulva vulvodynia (AKA vulvar dysesthesia), a descriptive, rather than diagnostic. vulvodyniasymptoms can vary in persistence and location, ranging from. http://www.tidesoflife.com/vulvodynia.htm

women's health skin repair/care anti-aging the library ... company store New Hope for Chronic Vaginal Burning and Pain As many as one woman in thirty may suffer with chronic, undiagnosed burning, rawness, stinging, itching, or stabbing pain around the vaginal opening. She will, most likely, suffer for many years, see many doctors, and be told the problem is "all in her head" before being correctly diagnosed with vulvodynia (AKA vulvar dysesthesia), a descriptive, rather than diagnostic term that literally means pain in the vulva, (the external, visible part of female genitalia, consisting of the clitoris and two pairs of the skin folds called labia). Also known as vestibulodynia or vulvar vestibulitis syndrome, the condition is poorly understood, widely underdiagnosed, or unknown to most gynecologists. Yet the impact on the quality of a woman's life can be profound. The pain can interfere with daily functioning, the ability to work and participate in a social life, engage in physical and, often, sexual activity. Ultimately, the condition can negatively impact on self-image

97. Community Connection: Shore Vulvodynia Support Group Shore vulvodynia Support Group. Shore vulvodynia Support Group Mutual supportand information sharing for women who have vulvodynia (chronic vulvar pain). http://community.nj.com/cc/shorevulvodyaniasupportgroup/

Shore Vulvodynia Support Group Shore Vulvodynia Support Group Mutual support and information sharing for women who have vulvodynia (chronic vulvar pain). Advocacy, rap sessions, phone contacts, literature, along with guest speakers at our support meetings. Join us at our new home page, Shore Vulvodynia Support Group, for a chat or to browse our sites. http://www.geocities.com/svsg_newjersey Support Group Meeting to be held on the first Tuesday of each month at Monmouth Medical Center, Long Branch, NJ. Ellen or Sue Phone: Fax: eljohnson@monmouth.com

98. Vulvodynia vulvodynia. American Family Physician, March 15, 1999. Summary vulvodyniais the word for pain in the vulva. The vulva is http://www.inletmedical.com/html/vulvodynia.htm

Vulvodynia American Family Physician , March 15, 1999 Summary: Vulvodynia is the word for pain in the vulva. The vulva is the external genital area around the vagina. The pain is usually described as burning, stinging, itching, irritating or raw feeling. Sexual intercourse, walking, sitting or exercising can make the pain worse. Vulvodynia is more common in white women and rare is women of other races. It usually starts suddenly and may last for months to years. Although the disease is not life threatening, the pain can lead to emotional problems, depression and problems in a woman's relationship with her spouse or partner. The exact cause of vulvodynia isn't known. A number of factors may be involved including: frequent yeast infections, frequent use of antibiotics, chemical irritation of the external genitals and previous laser treatments on the external genitals. Diagnostic tests include a pelvic exam, tests and a biopsy. Treatments include medications, interferon injections, biofeedback and surgery. A number of support groups exist to help women with vulvodynia.

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