Vulvar vestibulitis syndrome: reliability of diagnosis and evaluation of current diagnostic criteria
Obstetrics and GynecologyPublished 1 July 2001
Sophie Bergeron
Citations237
SJR quartileQ1
SJR score1.97
SNIP2.22
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TL;DR
Vulvar vestibulitis can be reliably diagnosed in women with dyspareunia and can be rated and described in a consistent fashion by these women, and Erythema does not appear to be a useful diagnostic criterion.
Abstract
Vulvar vestibulitis can be reliably diagnosed in women with dyspareunia. Pain is limited to the vulvar vestibule and can be rated and described in a consistent fashion by these women. Erythema does not appear to be a useful diagnostic criterion.
Keywords
Medicine
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The term vulvar vestibulitis syndrome should be adopted as the standard description of this disorder.
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All gynecologic patients seen by the author during a 6-month period were questioned and examined by means of a swab test to determine the prevalence of vulvar vestibulitis and the normal variation in sensitivity of vestibular skin.
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VVS is currently recognized as one of the leading causes of vulvodynia or chronic vulvar pain, and it is defined by a constellation of signs and symptoms confined to the vulvar vestibule.
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Surgical excision of the hymenal ring and contiguous mucosa of the vestibule has brought relief and permitted resumption of sexual activity in seven of eight treated patients, while promising, operation should be reserved for patients who have experienced unremitting dyspareunia associated with the characteristic focal inflammatory lesions for at least 6 months.
American Journal of Obstetrics and GynecologySimplified surgical revision of the vulvar vestibule for vulvar vestibulitis
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A simple surgery seems well suited to vestibular revision and additional causes of dyspareunia need to be recognized preoperatively and clarified and needs therapy to complement the surgical treatment.
American Journal of Obstetrics and GynecologyFocal vulvitis: A characteristic syndrome and cause of dyspareunia
54 Citations1986Ben M. Peckham, Dennis G. Maki +2 more
Surgical excision of the hymenal ring and contiguous mucosa of the vestibule has brought relief and permitted resumption of sexual activity in seven of eight treated patients, while promising, operation should be reserved for patients who have experienced unremitting dyspareunia associated with the characteristic focal inflammatory lesions for at least 6 months.
