Vulvar vestibulitis: prevalence and historic features in a general gynecologic practice population
Article Abstract:
Vestibulitis is a condition of unknown origin characterized by painful skin surrounding the opening of the vagina. To determine the incidence and causes of vestibulitis, 210 patients visiting a gynecologist's office for a routine pelvic exam were questioned and examined. When questioned, 20 percent of the women said that they had symptoms of vulvar vestibulitis. A cotton swab was used to test for painful skin, and the patients were asked to rate the pain on a scale of 0 (no pain) to 4 (significant pain). Nineteen percent of the patients who reported that they had pain had a positive swab test, and 15 percent were diagnosed with clinical vestibulitis. However, 18 percent of those reporting no pain had positive swab tests. The average age of the women with vestibulitis was 34 years, and the average duration of pain was 8.5 years. Twenty-eight of these women said that they avoid using tampons because of the pain associated with their insertion and removal. Many of the women reported that they limit their sexual activity because of the pain. Most of the patients with vestibulitis did not have a history of infection with the human papilloma virus (HPV). Treatment with fluoroucil cream for HPV infection may have been responsible for chemical burns on the skin resulting in vestibulitis in two of the patients. Several of the women with vestibulitis had sisters or cousins who also experienced pain when using tampons or during sexual intercourse, suggesting that the condition may be inherited. It is concluded that the incidence of vestibulitis is likely to be more common than originally thought and that many cases are likely to go unreported. (Consumer Summary produced by Reliance Medical Information, Inc.)
Publication Name: American Journal of Obstetrics and Gynecology
Subject: Health
ISSN: 0002-9378
Year: 1991
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Simplified surgical revision of the vulvar vestibule for vulvar vestibulitis
Article Abstract:
Vulvar vestibulitis may be improved using a simpler surgical procedure than the standard Woodruff vulvoplasty. Vulvar vestibulitis of the vulva refers to redness and extreme pain when the vulva is touched. The researcher performed a simple skinning revision surgery on 12 patients with vulvar vestibulitis. Ten women reported total relief from vestibular pain. One patient observed a 50% improvement, and the remaining patient experienced a relapse as a result of treatment for endometriosis. The formation of granulation scar tissue in some patients did not pose a problem to wound healing or pain resolution.
Publication Name: American Journal of Obstetrics and Gynecology
Subject: Health
ISSN: 0002-9378
Year: 1996
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The effect of total hysterectomy on specific sexual sensations
Article Abstract:
The study aims to access whether women note a change in aspects of arousal because of removal of the uterus and cervix. The results indicate that an indicated total hysterectomy will likely increase sexual satisfaction and not change the effect of breast stimulation.
Publication Name: American Journal of Obstetrics and Gynecology
Subject: Health
ISSN: 0002-9378
Year: 2005
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