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Vulvodynia: A Common and Under-Recognized Pain Disorder in Women and Female Adolescents -- Integrating Current Knowledge into Clinical Practice

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This is an image of the vulva three months post-vestibulectomy and vaginal advancement. In this type of surgery, the vagina is pulled and sutured to the perineal skin, halfway between the vulvar introitus and the anus so that the sensitive mucosa-skin junction will not be in the introitus itself (128).









^Alternative Therapies:

Hypnotherapy:  Limited findings for hypnotherapy noted significant decrease in pain associated with intercourse and increase in sexual satisfaction in nine women with vestibulodynia (129, 130).

Acupuncture:  Limited reports of improvement in vulvar pain and dyspareunia, including one randomized study comparing vulvodynia  patients to waitlist controls (133, 134).



PainTracker is an evidence-based tool available to individual health care providers for use to track key domains and treatment outcome over time. A quick overview of program, interface and questionnaire can be viewed at: Request login information to review the web interface from: 

 *The FSFI can be viewed/downloaded here:

^ Instruments available through NIH PROMIS can be viewed here:

^^A recent study found smartphone tracking system promoted excellent compliance with weekly tracking (135). Examples include: WebMD Pain Coach, My Pain Diary , Chronic Pain Tracker and Manage My Pain.

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