Provoked vestibulodynia (PVD) is defined as pain of at least three months’ duration localized to the vulvar vestibule and provoked by touch and/or vaginal penetration. The etiology of PVD is unknown. Its prevalence is estimated at 8.3% of adult women.33 PVD is associated with significant psychosocial distress, impaired sexual functioning and diminished quality of life.4 Currently, no large randomized placebo-controlled trials support an effective pharmacologic treatment for this disorder.24 Few non-controlled studies support interventions such as pelvic floor physical therapy, cognitive behavioral therapy, and, for selected patients, vestibulectomy.
from The Journal of Pain https://ift.tt/2WiQ8W1
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