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Background <p>Vulvodynia occurs in at least 10% of women worldwide bit is usually only recognized years later. The women affected are severely psychologically, physically and sexually impaired.</p> Diagnostocs <p>After exclusion of infections, neurological, dermatological or neoplastic diseases, the diagnostic criteria are pain and burning sensation for at least 3&#xa0;months spontaneously or when touching/penetration in the entire vulva and anal region or localized at the tip of the clitoris, vestibule, etc. For the anamnesis and diagnostics, calmness, enough time and understanding are required. Bacteriological smears and sample excisions are not necessary (but can provide indications for treatment, e.g., detection of pathological neuroproliferation or numbers of mast cells) but pH measurement, native preparations, fungal culture if necessary and the Q‑tip test for exploration of the pain zone should be performed.</p> Therapy <p>The treatment options include multimodal, interdisciplinary therapy (physiotherapy, pain therapy, behavioral therapy) in cases of failure of inpatient psychosomatic treatment and vestibulectomy as a&#xa0;last resort with well-defined indications.</p>

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Vulvovaginale Infektion? Nein: Vulvodynie

  • 期刊论文

  • 发表日期：

    2025年1月28日

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  • Werner Mendling

摘要

Background

Vulvodynia occurs in at least 10% of women worldwide bit is usually only recognized years later. The women affected are severely psychologically, physically and sexually impaired.

Diagnostocs

After exclusion of infections, neurological, dermatological or neoplastic diseases, the diagnostic criteria are pain and burning sensation for at least 3 months spontaneously or when touching/penetration in the entire vulva and anal region or localized at the tip of the clitoris, vestibule, etc. For the anamnesis and diagnostics, calmness, enough time and understanding are required. Bacteriological smears and sample excisions are not necessary (but can provide indications for treatment, e.g., detection of pathological neuroproliferation or numbers of mast cells) but pH measurement, native preparations, fungal culture if necessary and the Q‑tip test for exploration of the pain zone should be performed.

Therapy

The treatment options include multimodal, interdisciplinary therapy (physiotherapy, pain therapy, behavioral therapy) in cases of failure of inpatient psychosomatic treatment and vestibulectomy as a last resort with well-defined indications.