1989
DOI: 10.1001/archderm.125.2.256
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Vulvodynia. A multifactorial clinical problem

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Cited by 46 publications
(19 citation statements)
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“…Historically, disorders that have unknown origins (including sexual pain) were often labeled as psychosomatic (McKay, 1989); during the 18th and 19th centuries, many ''diseases of women'' were understood and diagnosed as hysterias. Often, the absence of a detectable organic cause meant no diagnosis, and it was assumed the pain was ''in a woman's head'' (Grace, 2000).…”
Section: Understanding Sexual Painmentioning
confidence: 99%
“…Historically, disorders that have unknown origins (including sexual pain) were often labeled as psychosomatic (McKay, 1989); during the 18th and 19th centuries, many ''diseases of women'' were understood and diagnosed as hysterias. Often, the absence of a detectable organic cause meant no diagnosis, and it was assumed the pain was ''in a woman's head'' (Grace, 2000).…”
Section: Understanding Sexual Painmentioning
confidence: 99%
“…The etiology of this abnormality remains elusive and has been considered multifactorial. 17 Suggested causes of pain include sexual trauma, psychiatric illness, HPV infection, urinary metabolites, hormonal deficiency, obstructed major vestibular glands, inflamed minor vestibular glands, and neurogenic pain. [17][18][19][20][21] The overall success of the perineoplasty procedure in correcting problems of dyspareunia and perineal pain in WS is comparable to, if not better than, success rates reported for other modes of therapy.…”
Section: Discussionmentioning
confidence: 99%
“…17 Suggested causes of pain include sexual trauma, psychiatric illness, HPV infection, urinary metabolites, hormonal deficiency, obstructed major vestibular glands, inflamed minor vestibular glands, and neurogenic pain. [17][18][19][20][21] The overall success of the perineoplasty procedure in correcting problems of dyspareunia and perineal pain in WS is comparable to, if not better than, success rates reported for other modes of therapy. It is reassuring that the success reported by Marinoff in an earlier study appears to continue in patients followed for 48-120 months.15 It was the purpose of this report to identify patient characteristics and laboratory variables that might predict success of the surgical procedure.…”
Section: Discussionmentioning
confidence: 99%
“…That is, destruction of the chronically inflamed surface vessels (and the activated sympathetic nerves that surround them) offers a therapeutic window. Each time this pain loop is broken, a proportion of individuals will remain in stable clinical remission [21].…”
Section: Cutting Vaporization Coagu I Ationmentioning
confidence: 99%