Presenting symptoms among premenopausal and postmenopausal women with vulvodynia: a case series

Menopause : the Journal of the North American Menopause Society
Nancy A PhillipsGloria Ann Bachmann

Abstract

The aim of the study was to determine whether there are differences in the clinical presentation of symptoms and vulvar pain ratings in postmenopausal women compared with premenopausal women with provoked vestibulodynia (PVD) enrolled in a clinical trial, after correcting for estrogen deficiency. Questionnaire data were collected from 76 premenopausal and 24 postmenopausal women enrolled in a clinical trial for PVD. The questionnaire obtained information about the presence or absence of vulvar pain, the characteristics of this pain, and information about the women's demographic characteristics and reproductive health history. Participants were clinically confirmed to have PVD by a positive cotton swab test on pelvic examination and either absence of or corrected vulvovaginal atrophy based on Ratkoff staining with less than 10% parabasal cells. Women completed a standardized questionnaire describing their vulvar symptoms and rated daily pain on a visual analog scale (0 = no pain to 10 = worse pain imaginable) from sexual intercourse, tampon insertion (as a surrogate measure of intercourse) and 24-hour vulvar pain for 2 weeks during the screening period. Pretreatment data were analyzed before pharmacologic intervention. Chi-squar...Continue Reading

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Oct 3, 2013·Obstetrics and Gynecology·Catherine M LeclairTerry K Morgan

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Citations

Jan 28, 2017·Women's Midlife Health·Susanna D MitroBarbara D Reed
Apr 27, 2021·Frontiers in Medicine·Haya S Raef, Sarina B Elmariah
May 11, 2021·The Journal of Sexual Medicine·Mette Bøymo KaarbøSlawomir Wojniusz

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