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May 2009 · Vol. 21, No. 05

A practical approach
to vestibulitis and vulvodynia

Draw a few basic distinctions and apply simple strategies to aid your diagnosis and management of these all-too-common conditions


Fast Track

When they relapse, women who have cyclic vulvovaginitis tend to experience mild irritative symptoms and a new complaint of entry dyspareunia

Young women who have vestibulitis tend to complain of progressively worsening pain with coitus as well as other symptoms that suggest that touch to the vestibule provokes the pain

When the patient has essential vulvodynia, the pelvic exam is absolutely normal except for the presence of mild genital atrophy in postmenopausal women

IN THIS ARTICLE

David  Soper,  MD

Dr. Soper is Professor of Obstetrics and Gynecology and Vice Chairman for Clinical Affairs at the Medical University of South Carolina in Charleston, SC.

The author reports no financial relationships relevant to this article.

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