Pelvic floor muscle function in women with provoked vestibulodynia and asymptomatic controls

Næss, Ingrid; Bø, Kari

doi:10.1007/s00192-015-2660-6

Cited by 31 publications

(6 citation statements)

References 24 publications

(22 reference statements)

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“…Previous psychophysical testing of women with vulvodynia has demonstrated differences in pain sensitivity compared to control women [3, 5, 7, 24]. Localized [3, 4, 6, 7] as well as systemic [4, 6] tenderness to pressure among women with vestibulodynia or vulvodynia compared to controls has been demonstrated repeatedly, suggesting a central nervous system “sensitization” associated with vulvodynia.…”

Section: Discussionmentioning

confidence: 99%

Multimodal Vulvar and Peripheral Sensitivity Among Women With Vulvodynia: A Case–Control Study

Reed¹,

Sen²,

Harlow

et al. 2017

J Low Genit Tract Dis

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Objective To assess differences in vulvar and peripheral sensitivity between women with and without vulvodynia. Methods Women with vulvodynia (N=41) and age-matched controls (N=43) seen in the outpatient setting were evaluated via surveys, clinical examination, and multimodal sensory testing (pressure, heat, cold, vibration, and electrical stimulation). The relationship between sensitivity to various sensory modalities and case/control status, as well as by vulvodynia subgroups, were assessed using logistic regression. Results Women with vulvodynia were more sensitive to pressure and to electrical stimuli than were control women at the vulva (Median 22 vs 230 grams and 0.495 vs 0.769 mA, respectively, p <0.001 for each) and at the thumb (Median 2500 vs 4250 grams and 0.578 vs 0764 mA, respectively, p=0.006 for pressure, p<0.001 for electrical stimulation). Heat, cold, and vibration detection thresholds did not differ significantly between these groups (p>0.025). Those reporting spontaneous pain versus provoked pain had greater pressure sensitivity to the thumb (Median 1850 vs 2690 grams, p=0.020) and greater electrical sensitivity at the introitus (0.450 vs 0.608 mA, p=0.011), and those with primary versus secondary vulvodynia, had substantially greater pressure sensitivity to the thumb (Median 2438 vs 3125 grams, p=0.004). However, having localized versus generalized vulvodynia was not associated with differences in pressure or electrical sensitivity. Conclusions Sensitivity to pressure and electrical stimuli is greater among vulvodynia cases than among controls, and supports two previously defined subgroups -- those reporting spontaneous pain versus those whose pain only occurred when provoked, and those with primary versus secondary vulvodynia.

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Section: Discussionmentioning

confidence: 99%

Multimodal Vulvar and Peripheral Sensitivity Among Women With Vulvodynia: A Case–Control Study

Reed¹,

Sen²,

Harlow

et al. 2017

J Low Genit Tract Dis

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“…The infiltration of A number of mechanisms have been suggested as the pathophysiological basis of CPPS: (1) An infection process, but no conclusive evidence has been found and antibiotic treatment is ineffective; (2) A neurogenic inflammation that includes local chemical changes [1,7]; (3) Hypoxia. A disrupted blood flow to the pelvic area, reduced micro-vascular density of the bladder's submucosa layer, followed by decreased perfusion [19] is supported by clinical improvement following hyperbaric treatment [20][21][22]; and (4) Weakness or cramps of the pelvic floor muscles [13,23]. None of the above have been mentioned as the sole cause of the syndrome, and it is estimated that these mechanisms interact.…”

Section: Search Strategymentioning

confidence: 98%

“…Manual examination of the pelvis may find tension, rigidity, and sensitivity of the pelvic floor muscles or myofascial trigger points. PVD refers to pain at the entrance of the vagina, known as the vestibule, experienced as sharp or burning pain that lasts at least three months [12][13][14]. The diagnosis criteria for PVD may include severe pain when touched or when vaginal penetration is attempted, soreness located in the vestibule without similar soreness in adjacent tissues, and ruling out other factors (infection, inflammation, skin disease, etc.)…”

Section: Search Strategymentioning

confidence: 99%

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New Insights about Chronic Pelvic Pain Syndrome (CPPS)

Grinberg

Sela

Nissanholtz-Gannot

2020

IJERPH

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Background: Chronic pelvic pain syndrome (CPPS) is one of the common diseases in urology and gynecology. CPPS is a multifactorial disorder where pain may originate in any of the urogynecological, gastrointestinal, pelvic musculoskeletal, or nervous systems. The symptoms of CPPS appear to result from an interplay between psychological factors and dysfunction in the immune, neurological, and endocrine systems. The aim of this article was to present new insight about CPPS in order to raise awareness of nursing and medical staff in the identification and diagnosis of the syndrome and to promote an appropriate treatment for each woman who suffers from CPPS. Methods: A literature review about the factors associated with CPPS and therapeutic interventions for CPPS was conducted. Results: CPPS represents a chronic pain syndrome that combines anatomic malfunction of the pelvic floor muscles with malfunction of pain perception linked with psychological and cognitive factors. Conclusions: The therapeutic interventions in CPPS cases should, consequently, follow a multidisciplinary approach.

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“…and Mathur C. et al [ 48 ] indicated that women presenting as underweight or obese were significantly less likely to have it than those with a normal BMI. On the other hand, the results obtained by Naess I and Bø K. [ 49 ] show that the average BMI of people with chronic vulvar pain was normal and was approximately 22. The results of our study are consistent with these data.…”

Section: Discussionmentioning

confidence: 96%

Chronic Vulvar Pain and Health-Related Quality of Life in Women with Vulvodynia

Patla

Mazur-Biały

Humaj-Grysztar

et al. 2023

Life

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The aim of this study was to investigate the severity of chronic vulvar pain in women with vulvodynia and its impact on their health-related quality of life (QL). The study group consisted of 76 women aged 19 to 58. The study was carried out using the diagnostic survey method, i.e., (1) the questionnaire technique, comprising (A) the author’s questionnaire (76 questions) and (B) the WHOQOL-BREF questionnaire, and (2) the VAS. When analyzing the severity of vulvar pain on the VAS, the highest proportion of women rated it at level 6 (23.68%). This was significantly determined by certain personal characteristics (age < 25 years old) and sociodemographic characteristics (marital status: unmarried women, divorcees, widows; high school education), each at p < 0.05. Vulvodynia causes a significant deterioration (64.47%) in QL, which is mainly caused by a reduction in the ability to perform activities of daily living (27.63%) and a decrease in sexual satisfaction (27.63%). The level of stress significantly exacerbates pain (p < 0.05). The severity correlates significantly (p < 0.05) and negatively (r < 0) with QL perception, which was rated worst in the physical domain. The use of treatment resulted in a significant improvement in the physical and psychological domains (p < 0.05), and the latter was particularly influenced by physiotherapy (p < 0.05).

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Pelvic floor muscle function in women with provoked vestibulodynia and asymptomatic controls

Cited by 31 publications

References 24 publications

Multimodal Vulvar and Peripheral Sensitivity Among Women With Vulvodynia: A Case–Control Study

Multimodal Vulvar and Peripheral Sensitivity Among Women With Vulvodynia: A Case–Control Study

New Insights about Chronic Pelvic Pain Syndrome (CPPS)

Chronic Vulvar Pain and Health-Related Quality of Life in Women with Vulvodynia

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