Vulvodyia

Question 1

when is vulvodynia suspected?

Answer 1

new onset insertional dyspareunia
* idiopathic, chronic vulvar pain of at least 3 months

Question 2

what is a key to diagnosis of vulvodynia?

Answer 2

positive swab test –> moisten cotton applicator and touch lightly

Question 3

what is the treatment of vulvodynia?

Answer 3

1. behavioral modification: hygiene, symptom relief, stress reduction
2. pelvic floor therapy
3. psych intervention
4. medication
   *topical lidocaine
   *topical hormone cream
   *antidepressants
   *neuropathic pain agents (gabapentin)