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S Vilasagar, J F Carrillo, D C Foster
No abstract text is available yet for this article.
November 2015: Journal of Minimally Invasive Gynecology
Sarah A Vannier, Natalie O Rosen, Sean P Mackinnon, Sophie Bergeron
Provoked vestibulodynia (PVD) is a recurrent, genito-pelvic pain condition that affects 8-12 % of women and has negative implications for sexual and relationship functioning. Many women with PVD report avoiding physical affection because they are concerned that affectionate behavior will lead to painful sexual activity. In community samples, physical affection is associated with improved sexual and relational well-being; however, no research has assessed the influence of physical affection on well-being in women with PVD...
September 12, 2016: Archives of Sexual Behavior
Gabrielle McNicoll, Serena Corsini-Munt, Natalie O Rosen, Pierre McDuff, Sophie Bergeron
Provoked vestibulodynia (PVD) is a recurrent idiopathic vulvo-vaginal pain associated with negative sexual and psychological consequences. Facilitative partner responses to pain are currently receiving empirical attention because they are positively associated with women's sexual outcomes. However, the mechanisms through which facilitative responses to pain are associated with these outcomes have not been examined. One potential mechanism is sexual assertiveness, which has been found to be associated with better sexual function and satisfaction in women with PVD...
September 1, 2016: Journal of Sex & Marital Therapy
Pedro Vieira-Baptista, Joana Lima-Silva
No abstract text is available yet for this article.
October 2016: Journal of Lower Genital Tract Disease
Päivi Tommola, Leila Unkila-Kallio, Anders Paetau, Seppo Meri, Eija Kalso, Jorma Paavonen
BACKGROUND: Provoked vestibulodynia manifests as allodynia of the vulvar vestibular mucosa. The exact mechanisms that result in altered pain sensation are unknown. Recently, we demonstrated the presence of secondary lymphoid tissue, which is the vestibule-associated lymphoid tissue in the vestibular mucosa, and showed that this tissue becomes activated in provoked vestibulodynia. OBJECTIVE: The purpose of this study was to examine whether expression of intraepithelial nerve fibers and nerve growth factor are related to immune activation in provoked vestibulodynia...
July 25, 2016: American Journal of Obstetrics and Gynecology
Julia Geynisman-Tan, William J Ledger
BACKGROUND: Vulvodynia is a difficult-to-treat, chronic, multifactorial malady that drastically lowers the quality of life of afflicted patients. CASE: A 68-year-old woman, who had been treated successfully for vulvodynia years before with medication, returned with a recurrence of vulvodynia symptoms that this time did not respond to treatment. She now had biopsy-confirmed lichen sclerosis and was found to have markedly elevated serum testosterone levels. An imaging study detected an ovarian lesion that, on removal, proved to be afibrothecoma...
May 2016: Journal of Reproductive Medicine
K Jane Chalmers, Victoria J Madden, Mark R Hutchinson, G Lorimer Moseley
OBJECTIVE: To synthesize and critically evaluate all available evidence investigating whether localized, provoked vestibulodynia is associated with a specific inflammatory profile at both a local and a systemic level. DATA SOURCES: Comprehensive electronic searches were performed in MEDLINE, EMBASE, Scopus, PubMed, Web of Science, Cumulative Index to Nursing and Allied Health Literature, the Cochrane Collaboration databases, and The search strategy was developed using MeSH terms related to localized, provoked vestibulodynia, and inflammatory markers...
August 2016: Obstetrics and Gynecology
Leslie A Sadownik, Kelly B Smith, Amber Hui, Lori A Brotto
This study explored the experiences of male partners of women with dyspareunia, secondary to provoked vestibulodynia (PVD), who participated in the Multidisciplinary Vulvodynia Program (MVP). Participants were 16 men between 22 and 45 years of age. Data was collected with semi-structured interviews and analyzed using content analysis. Men were interviewed about: (1) the impact of the woman's PVD on themselves; and (2) the impact of the MVP on themselves. Participants experienced negative psychological effects (e...
July 11, 2016: Journal of Sex & Marital Therapy
Nancy Phillips, Candace Brown, Gloria Bachmann, Jim Wan, Ronald Wood, Dagny Ulrich, Candi Bachour, David Foster
BACKGROUND: Vulvodynia is a chronic vulvar pain disorder and fibromyalgia is a chronic widespread musculoskeletal pain disorder, both of unknown etiology. Association of these conditions is well documented. Intravaginal algometer measurement of tenderness to pressure applied to the pelvic floor muscles helps define vulvodynia associated with musculoskeletal factors. Women with both vulvodynia and fibromyalgia might have increased pelvic muscle pain compared to women with vulvodynia alone, defining the possible link of these 2 conditions...
July 1, 2016: American Journal of Obstetrics and Gynecology
Linda McLean, Stephanie Thibault-Gagnon, Kaylee Brooks, Corrie Goldfinger, Caroline Pukall, Susan Chamberlain
OBJECTIVE: Pelvic morphology has been suggested to reflect increased tone and reduced strength of the pelvic floor muscles (PFMs) in women with provoked vestibulodynia (PVD) compared to healthy controls. We aimed to determine whether there are differences in pelvic morphology in the resting state, on maximum voluntary contraction (MVC), or on maximum effort Valsalva maneuver (MVM) between women with and without PVD. METHODS: While imaged using ultrasound, 38 women with PVD and 39 controls relaxed their PFMs, performed 3 MVCs and performed 3 MVMs...
June 2016: Journal of Sexual Medicine
Annie Morin, Guillaume Léonard, Véronique Gougeon, Guy Waddell, Yves-André Bureau, Isabelle Girard, Mélanie Morin
BACKGROUND: Provoked vestibulodynia is the most common form of vulvodynia. Despite its high prevalence and deleterious sexual, conjugal, and psychological repercussions, effective evidence-based interventions for provoked vestibulodynia remain limited. For a high proportion of women, significant pain persists despite the currently available treatments. Growing evidence suggests that the central nervous system (CNS) could play a key role in provoked vestibulodynia; thus, treatment targeting the CNS, rather than localized dysfunctions, may be beneficial for women suffering from provoked vestibulodynia...
2016: Trials
David A Baker, Tanya Peresleni, Christina Kocis
INTRODUCTION: Vulvodynia is a chronic pain syndrome with unknown etiology, characterized by burning pain of the vulva, affecting up to 16% of women in the US. The objective of this study is to compare the multiple cytokine expression in vestibulodynia patients versus normal control women. METHODS: Vaginal rinses were collected from 32 vestibulodynia patients and 26 matched healthy volunteers. All participants signed written informed consent. Aliquots were kept frozen and later semi-quantitative detection of 40 human cytokines was done, using Ray-Biotech Human Inflammation Antibody Array C3...
May 2016: Obstetrics and Gynecology
Serena Corsini-Munt, Sophie Bergeron, Natalie O Rosen, Noémie Beaulieu, Marc Steben
Childhood maltreatment is robustly associated with adult-onset vulvodynia, a common form of female genito-pelvic pain/penetration disorder. However, little is known about the impact of childhood maltreatment on current sexual, psychological, and relationship adaptation for couples with provoked vestibulodynia (PVD). This study examined the associations between childhood maltreatment and sexual and psychosocial functioning and pain in women with PVD, the most common subtype of vulvodynia, and their partners...
April 21, 2016: Journal of Sex Research
Leen Aerts, Sophie Bergeron, Caroline F Pukall, Samir Khalifé
INTRODUCTION: Provoked vestibulodynia (PVD) is suspected to be the most frequent cause of vulvodynia in premenopausal women. Previous research has been inconclusive as to whether higher vulvovaginal pain ratings are associated with lower sexual function and satisfaction in women with PVD. Whether pain intensity correlates with sexual impairment is an important question given its implications for treatment recommendations. AIM: To examine the associations among self-reported and objective pain measurements, sexual function, and sexual satisfaction in a large combined clinical and community sample of premenopausal women diagnosed with PVD...
June 2016: Journal of Sexual Medicine
Andrew T Goldstein, Caroline F Pukall, Candace Brown, Sophie Bergeron, Amy Stein, Susan Kellogg-Spadt
INTRODUCTION: Vulvodynia constitutes a highly prevalent form of sexual pain in women, and current information regarding its assessment and treatment is needed. AIM: To update the scientific evidence published in 2010, from the Third International Consultation on Sexual Medicine, pertaining to the assessment and treatment of women's sexual pain. METHODS: An expert committee, as part of the Fourth International Consultation on Sexual Medicine, was comprised of researchers and clinicians from biological and social science disciplines for the review of the scientific evidence on the assessment and treatment of women's genital pain...
April 2016: Journal of Sexual Medicine
Cara R Dunkley, Lori A Brotto
Provoked vestibulodynia (PVD) is a chronic and distressing genital pain condition involving sharp pain to the vulvar vestibule with lifetime prevalence as high as 12%. PVD is the most prevalent cause of pain during sexual intercourse (dyspareunia) in premenopausal women, and gives rise to considerable sexual and relational concerns. As intercourse for women with PVD is either painful or impossible, PVD has pronounced negative effects on women's romantic relationship adjustment and sexual intimacy, as well as their emotional well-being and sense of sexual self-efficacy...
July 2016: Journal of Clinical Psychology
Alexandra B Anderson, Natalie O Rosen, Lisa Price, Sophie Bergeron
INTRODUCTION: Provoked vestibulodynia (PVD) is a common vulvovaginal pain condition that negatively impacts women's psychological and sexual well-being. Controlled studies have found that women with PVD report greater negative and less positive cognitions about penetration; however, associations between these types of cognitions and women's pain and sexual well-being remain unknown. Further, researchers have yet to examine how interpersonal variables such as sexual communication may impact the association between women's penetration cognitions and PVD outcomes...
March 2016: Journal of Sexual Medicine
Marie-Pierre Cyr, Daniel Bourbonnais, Alexandra Pinard, Olivia Dubois, Mélanie Morin
OBJECTIVE: Women with provoked vestibulodynia (PVD) suffer pain at the entry of the vagina elicited by pressure as during vaginal penetration. To quantify vestibular pain, we developed a new instrument, an algometer. The aim of this study was to investigate the test-retest reliability of the algometer and evaluate its convergent validity for vestibular pain assessment in women with PVD. METHODS: Twenty-six women with PVD participated in the study. Vestibular pain was assessed with the new algometer and the already known vulvalgesiometer during two different sessions 2 to 4 weeks apart...
July 2016: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
Stéphanie Thibault-Gagnon, Linda McLean, Corrie Goldfinger, Caroline Pukall, Susan Chamberlain
INTRODUCTION: Pelvic floor muscle (PFM) involvement is suspected in the pathophysiology of provoked vestibulodynia (PVD); however, the underlying mechanisms are unclear. PFM morphology can be inferred from the biometry of the levator hiatus determined through dynamic ultrasound imaging. AIMS: The aim of this study was to determine the nature of PFM involvement in women with PVD via an evaluation of the biometry of the levator hiatus at rest, upon maximal voluntary contraction (MVC) of the PFMs, and upon maximal Valsalva maneuver (MVM)...
February 2016: Journal of Sexual Medicine
Peter Leusink, Anne Kaptheijns, Ellen Laan, Kees van Boven, Antoine Lagro-Janssen
BACKGROUND: The lifetime prevalence of women suffering from provoked vestibulodynia (PVD) is estimated to be approximately 15%. The etiology of PVD is not yet clear. Recent studies approach PVD as a chronic multifactorial sexual pain disorder. PVD is associated with pain syndromes, genital infections, and mental disorders, which are common diseases in family practice. PVD, however, is not included in the International Classification of Primary Care. Hence, the vulvovaginal symptoms, which could be suggestive of PVD, are likely to be missed...
February 2016: Journal of Sexual Medicine
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