By Alessandra Graziottin MD, Filippo Murina MD (auth.)
Chronic vulvar discomfort, or ‘vulvodynia’, is a standard challenge that may have a substantial effect at the well being of sufferers. regardless of being visible oftentimes in daily scientific perform, it is still a ignored disease which may take a long time to diagnose.
This e-book eases the way in which for physicians, together with basic Practitioners and Gynecologists, who're encouraged to enhance the lives of girls being affected by vulvodynia.
By delivering a concise evaluate of the most recent details at the analysis and administration of vulvodynia, and its various comorbidities, in a simple to learn, ‘tips and tips’ layout, the publication empowers physicians to swiftly and successfully handle the complicated and delicate matters surrounding the disorder.
Read Online or Download Clinical Management of Vulvodynia: Tips and Tricks PDF
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Additional info for Clinical Management of Vulvodynia: Tips and Tricks
The location 24 3 Clinical Management of Vulvodynia and characteristics of pain have been demonstrated to be the most significant predictors of its etiology. No instrumental exam has so far been demonstrated to be more informative than a carefully performed clinical examination. Focusing on the presenting symptom - dyspareunia - and with the abovementioned attention to the sensitivity of the issue, the key questions required to obtain the most relevant information can be summarized as follows: • Did you experience coital pain from the very beginning of your sexual life onwards (lifelong) or did you experience it after a period of normal (painless) sexual intercourse (acquired disorder)?
3). However, there is a great deal of overlap between the dendrites of levator ani motor neurons and pudendal motor neurons, and both nerves contain primary afferent fibers that project into the sacral spinal cord. Thus, there is great potential for interaction between the sensory and motor nerve fibers that control the levator ani muscle, the vulva, and the vestibule. It is not important what starts the process (muscle or nerve) but it is important how alteration of the pelvic muscles is responsible for the severity of symptoms.
Such disclosures should be taken seriously and addressed in a sensitive manner. c) Patients may reflect a wide diversity of experiences, values, and preferences: - all people may have sexual interests or concerns, including the elderly, the disabled, and those with chronic illness, such as vulvodynia and other types of chronic pain; - be sensitive to gender and cultural differences, but do not assume that any one patient necessarily fits a gender or cultural stereotype; - whenever possible, involve both the symptomatic patient and the partner in evaluation and treatment.