Women without vulvodynia can have a positive 'Q-tip test': a cross sectional study

Journal of Psychosomatic Obstetrics and Gynaecology
Pedro Vieira-BaptistaGilbert Donders

Abstract

Vulvodynia is a frequently missed pathology, often confused with vaginismus. The Q-tip test (QTT) is fundamental for the diagnosis; however, there is lack of data about its performance in asymptomatic women. This study intended to evaluate the QTT for painful vestibular spots in asymptomatic women. Q-tips were gently pressed at different areas of the vulvar vestibule to obtain a 0-10 score representing the pain felt. This was performed in 267 consecutive patients presenting to the gynecology outpatient clinic for reasons other than vulvovaginal complaints. A questionnaire was done to evaluate the possibility of unrecognized vulvodynia. Out of the 267 women, 18 (6.7%) fitted the diagnosis of vulvodynia and were excluded from the analysis. Of the remaining 249, 41 (16.5%) had a positive QTT. We could not find differences in the sexual activity rate between women with and without a positive QTT. No demographic differences could be found between the two groups. Only depression was more common in women with a positive QTT [31.7% (13/41) versus 10.8% (21/208), p=.001). Asymptomatic women can have painful vestibular spots in the absence of vulvodynia. A positive QTT cannot be considered equivalent to vulvodynia, highlighting the need ...Continue Reading

References

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Sep 24, 2008·Handbook of Clinical Neurology·David Yarnitsky, Michal Granot
Jun 28, 2011·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Gilbert G G DondersGert Bellen
Nov 2, 2011·Medical Hypotheses·Gilbert Donders, Gert Bellen
Aug 27, 2013·Gynécologie, obstétrique & fertilité·C de Belilovsky
Aug 6, 2014·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Pedro Vieira-BaptistaJorge Beires
Mar 24, 2016·Journal of Lower Genital Tract Disease·Jacob BornsteinUNKNOWN consensus vulvar pain terminology committee of the International Society for the Study of Vulvovaginal Disease (ISSVD), the

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Citations

Dec 20, 2017·Journal of Psychosomatic Obstetrics and Gynaecology·Dimitrios Papoutsis, Angeliki Antonakou
Jun 23, 2018·Journal of Lower Genital Tract Disease·Leslie A SadownikKelly B Smith
Jun 27, 2019·Obstetrics and Gynecology·UNKNOWN American College of Obstetricians and Gynecologists' Committee on Practice Bulletins—Gynecology
Oct 12, 2017·Journal of Psychosomatic Obstetrics and Gynaecology·Julie Quinlivan, Linda McGowan
May 27, 2021·Gynecological Endocrinology : the Official Journal of the International Society of Gynecological Endocrinology·Faustino R Pérez-LópezColleen K Stockdale

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