The ACTIV study: acupuncture treatment in provoked vestibulodynia

The Journal of Sexual Medicine
Stephanie CurranTrevor Cohen

Abstract

Provoked vestibulodynia (PVD) is a distressing genital pain condition affecting 12% of women. Treatment modalities vary and although vestibulectomy has the highest efficacy rates, it is usually not a first-line option. Acupuncture has a long history in the traditional Chinese medicine (TCM) system and operates on the premise that pain results from the blockage or imbalance of important channels. The main principle of treatment is to move Qi and blood to cease genital pain. To explore effect sizes and feasibility in a pilot study of acupuncture for women with PVD. Eight women with PVD (mean age 30 years) underwent 10 1-hour acupuncture sessions. Specific placement of the needles depended on the woman's individual TCM diagnosis. TCM practitioners made qualitative notes on participants' feedback after each session. Main Outcome Measures. Self-reported pain (investigator-developed), pain-associated cognitions (Pain Catastrophizing Scale [PCS], Pain Vigilance and Awareness Questionnaire), and sexual response (Female Sexual Function Index) were measured before and after treatment sessions 5 and 10. Qualitative analyses of TCM practitioner notes were performed along with one in-depth case report on the experience of a participant. A r...Continue Reading

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Citations

Feb 3, 2015·The Journal of Sexual Medicine·Judith M SchlaegerDiana J Wilkie
May 19, 2012·Journal of Midwifery & Women's Health·Kim J Cox, Cynthia E Neville
Apr 6, 2016·The Journal of Sexual Medicine·Andrew T GoldsteinSusan Kellogg-Spadt
Jun 4, 2015·Journal of Sex & Marital Therapy·Miznah Al-AbbadeyCynthia A Graham
Oct 9, 2019·Journal of Lower Genital Tract Disease·Lee E Hullender RubinCatherine M Leclair
Mar 9, 2019·Drugs·Natalie O RosenSusan Kellogg-Spadt

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