J Clin Outcomes Manage
Vulvodynia: an evidence-based approach to medical management
Abstract Objective: To present key concepts in the diagnosis and treatment of vulvodynia. Methods: Review of the literature with case presentations. Results: Vulvodynia is a condition of vulvar discomfort that affects millions of women each year. The etiology is unknown. Treatment goals are to reduce pain, improve quality of life, and recover sexual function if it has been affected. There is no single effective treatment for vulvodynia, and there is no high-quality evidence of beneficial effect for any intervention. Rapid resolution of symptomatic chronic vulvodynia is unusual and improvement of pain may take months. Conclusion: The quality of evidence for efficacy for pain relief and for sexual function ranges from none to fair. In the absence of good quality evidence, providers and patients must discuss available evidence and make choices that are not based on confident recommendations.
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