Vulvodynia

作者：Shah Mitul; Hoffstetter Susan^*

来源：Obstetrics and Gynecology Clinics of North America, 2014, 41(3): 453-+.

DOI：10.1016/j.ogc.2014.05.005

• Vulvodynia
• Vulvar pain
• Vaginismus

Vulvar pain and discomfort (vulvodynia) are common conditions that can have a significant impact on a patient%26apos;s quality of life. Vulvodynia is a difficult condition to evaluate and treat. This article gives the primary gynecologist a basic framework with which to identify, diagnose, and begin treatment for these patients and refer if necessary. Initial evaluation and physical examination are discussed in detail. Treatments ranging from self-management strategies to nonpharmacologic and pharmacologic therapies will be explored. Because vulvodynia is a chronic pain disorder, diagnosis is the key to beginning treatment and support for this patient population.