- clitoris, and entrance to the vagina)— a painful sensation which may extend to the perineum, thigh or buttock and is often associated with discomfort in the urethra and rectum. Vulvodynia means "painful vulva." Essential vulvodynia occurs primarily in postmenopausal women. There are no reliable data on the prevalence of essential vulvodynia. The main symptom is pain, usually a sensation of burning, irritation or rawness of the genitals. The pain is quite variable. It can vanish as suddenly as it started. The main finding demonstrable on a medical physical examination is hyperesthesia. The cause of essential vulvodynia is unknown. There is some evidence that damage to the nerves, particularly the pudendal nerve, supplying this area may play a role. The prognosis without treatment or spontaneous remission may be for unceasing pain, leading to poor quality of life. Rarely, frequency of micturition (urination), stress incontinence, and chronic constipation may also develop. Many treatments have been tried. These include drugs such as amitriptyline, nerve blocks (to numb the vulvar nerves), decompression of the pudendal nerve, and biofeedback therapy (to relax pelvic muscles). At present there is insufficient evidence to document any benefit from amitriptyline or pudendal nerve decompression for women with essential vulvodynia. This is a seemingly minor disease of major consequence for a woman's quality of life. It is a condition of unknown cause without a proven mode of treatment.
Medical dictionary. 2011.
Look at other dictionaries:
Vulvodynia, essential — A chronic, diffuse, unremitting sensation of burning of the vulva (the female external genital organs including the labia, clitoris, and entrance to the vagina) a painful sensation which may extend to the perineum, thigh or buttock and is often… … Medical dictionary
vulvodynia — n. unexplained vulval pain, often coupled with sexual dysfunction and psychological disorder, which is often described by the patient as a burning stinging sensation and/or rawness. Cyclic vulvodynia occurs in relation to menstruation or coitus… … The new mediacal dictionary
Painful vulva — Also called essential vulvodynia, a chronic, diffuse, unremitting sensation of burning of the vulva (the female external genital organs including the labia, clitoris, and entrance to the vagina) a painful sensation which may extend to the… … Medical dictionary
Vulvar pain, chronic — Also called essential vulvodynia (literally means painful vulva ), pain in the vulva, the female external genitalia including the labia, clitoris, and entrance to the vagina. The pain usually is a chronic, diffuse, unremitting sensation of… … Medical dictionary
List of cutaneous conditions — This is an incomplete list, which may never be able to satisfy particular standards for completeness. You can help by expanding it with reliably sourced entries. See also: Cutaneous conditions, Category:Cutaneous conditions, and ICD 10… … Wikipedia
Salpingitis — Classification and external resources Micrograph of acute and chronic salpingitis. H E stain. ICD 10 N … Wikipedia
Ovarian vein syndrome — Relation of artery to ureter In medicine, ovarian vein syndrome is a rare (possibly not uncommon, certainly under diagnosed) condition in which a dilated ovarian vein compresses the ureter (the tube that brings the urine from the kidney to the… … Wikipedia
Pelvic pain — Pelvic and perineal pain Micrograph showing endometriosis (H E stain), a common cause of chronic pelvic pain in women. ICD 10 R10..2 … Wikipedia