PSYC 333 Lecture Notes - Lecture 16: Pelvic Pain, Cotton Swab, Vulvodynia

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Vulvar discomfort, most often described as burning pain: limited to vulvar, not inside the vagina. Occurs in the absence of relevant visible findings or a specific, clinically identifiable, Rule out infectious, inflammatory, neoplastic, and neurologic disorders neurologic disorder. Needs to be idiopathic not medically explained. Significant & negative impact on sexual and non-sexual function: chronic pains impairment in different areas in life. Vulvodynia: an umbrella term for all kinds of pain in the vulva: vulvodynia = chronic vulva pain; but there are many types. Pain location: generalized (everywhere of on the vulva) or localized (e. g. only pain at clitoral area, one. Provoked vestibulodynia (pvd: pain is localized at entrance of vagina ; the vestibule, affects 12% of pre-menopausal women. Biopsy etc: confirmed with the cotton-swab test. When it touches the vestibule, it will be very very painful: primary and secondary presentations (cid:498)was it always there since the first sexual penetration? (cid:495) or (cid:494)did it happen only after some time(cid:495)

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