Vestibulodynia--a subset of vulvar vestibulitis or a novel syndrome?

American Journal of Obstetrics and Gynecology
J BornsteinH Abramovici

Abstract

Our purpose was to recognize special features of women with both vestibulitis and constant vulvar pain (vestibulodynia) and to determine whether vestibulodynia is a separate disease entity or a subset of vestibulitis. Ninety-one women with severe vulvar vestibulitis underwent perineoplasty by a single surgeon during 1992 to 1995. Twenty-five (27%) of them who had vestibulodynia were compared with 66 (73%) who had dyspareunia alone. With univariate and then multivariate analysis, the two groups were compared with regard to demographic, social, and medical variables, the presence of human papillomavirus deoxyribonucleic acid, physical findings in the vestibule, and surgical outcome. The vestibulodynia and vestibulitis groups differed in age (30.5 +/- 10.6 years vs 24.7 +/- 6.2 years respectively), as well as in marital status (married, 44% vs 18%, respectively), nonuse of contraception (20% vs 1%, respectively), presence of human papillomavirus deoxyribonucleic acid in the vestibule (80% vs 48%, respectively), and failure of surgical treatment (incomplete response rate, 64% vs 2%, respectively). With multivariate analysis, patients with human papillomavirus deoxyribonucleic acid present in the vestibule have an odds ratio of 5.44...Continue Reading

References

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Citations

Mar 1, 2006·Women's Health·Jorma Paavonen
Sep 1, 2006·The Journal of Sexual Medicine·Andrew T GoldsteinStanley C Marinoff
Jul 19, 2008·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Denniz ZolnounSawson As-Sanie
Apr 6, 2016·The Journal of Sexual Medicine·Andrew T GoldsteinSusan Kellogg-Spadt
Feb 15, 2001·American Journal of Obstetrics and Gynecology·J BornsteinH Abramovici
Jul 2, 2004·Obstetrics and Gynecology·Jutta GieseckeRichard H Gracely
Aug 19, 2000·Clinical Obstetrics and Gynecology·H K Haefner
Oct 9, 2001·International Journal of STD & AIDS·J GreenA Kocsis

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