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Vulvodynia: more books (19)

A case of vulvodynia and dyspareunia by Nancy A Scarlett, 1997
Chronic vulvar pain: It can be helped.: An article from: International Journal of Humanities and Peace by Gale Reference Team, 2006-01-01
The Simple Secrets of Reinvention for Every Woman Over 40 by Susan Lark, 2008
Audio-digest: Obstetrics/gynecology: Sexual Medicine Issues (Vol. 49, Issue 9, May 7, 2002) by MD Deborah A. Metzger, MA, CSW, PhD (Cand) Hope E. Ashby, 2002

lists with details

International Pelvic Pain Society
Provides information on treating and diagnosing chronic pelvic pain to help women begin leading pelvic pain free lives.
http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126
Vulvodynia And Vulvar Vestibulitis: Challenges In Diagnosis And Management - Mar
A patient information handout on vulvodynia, written by the author and Elizabeth vulvodynia is a syndrome of unexplained vulvar pain that is frequently
http://www.aafp.org/afp/990315ap/1547.html

Extractions: AAFP Home Page Journals Vol. 59/No. 6 (March 15, 1999) A patient information handout on vulvodynia, written by the author and Elizabeth S. Smoots, M.D., is provided on page 1561. V ulvodynia is frequently misdiagnosed. In a general gynecologic practice population, the prevalence of this condition may be as high as 15 percent. Before the 1980s, very little was written about vulvodynia. In the 1980s, renewed interest was generated with the publication of articles by Friedrich, Lynch and McKay. Epidemiology Vulvodynia is a syndrome of unexplained vulvar pain that is frequently accompanied by physical disabilities, limitation of daily activities (such as sitting and walking), sexual dysfunction and psychologic disability. Originally suggested by McKay, the term "vulvodynia" has also been suggested by the International Society for the Study of Vulvar Disease Task Force to describe any vulvar pain. The incidence and prevalence of vulvodynia have not been well studied. Age distribution for the condition may range from the 20s to the 60s, and it is limited almost exclusively to white women.
New Page 1
Provides information about disorders, selfexams and self-care tips. Disorders that are included are vulvodynia, lichen sclerosus, cancer and vulvar
http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126
Vulvodynia - March 15, 1999 - American Academy Of Family Physicians
vulvodynia is more common in white women. It s rare in women of other races. The treatment depends on the cause of your vulvodynia.
http://www.aafp.org/afp/990315ap/990315d.html

Extractions: Please note: This information was as current as we could make it on the date given above. But medical information is always changing, and some information given here may be out of date. For regularly updated information on a variety of health topics, please visit familydoctor.org , the AAFP patient education Web site. An article on this topic is available in this issue of AFP What is vulvodynia? Vulvodynia (say: vul-vo-din-ee-a) is the word for pain in the vulva. The vulva is the external genital area in womenthe area around the vagina. The pain is usually described as a burning, stinging, itching, irritating or raw feeling. Sexual intercourse, walking, sitting or exercising can make the pain worse. Vulvodynia is more common in white women. It's rare in women of other races. It usually starts suddenly and may last for months to years. Although it isn't life-threatening, the pain may make you cut back on some of your activities. It can also make you upset or depressed. It might even cause problems in your relationship with your spouse or partner. How did I get vulvodynia?
Vulvodynia Support
My Story In July of 1999, I developed vulvodynia. I didn't know what was wrong with me.
http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126
Vulvodynia: Diagnosis And Treatment
vulvodynia is different from itching or vulvar pruritus. vulvodynia actually precludes itching because the burning and pain cause an intolerance to
http://www.tldp.com/issue/166/166vulvo.htm

Extractions: Previous Article Menu SUBSCRIBE TO TOWNSEND LETTER FOR DOCTORS AND PATIENTS Vulvodynia: Diagnosis and Treatment by Tori Hudson, ND Vulvodynia or vulvar pain syndrome is a multifactoral clinical syndrome of vulvar pain, sexual dysfunction, and psychological distress. Recognizing the four specific subtypes of vulvodynia is important in the management approach. The most common four subtypes are vulvar vestibulitis syndrome, cyclic vulvovaginitis, dysesthetic vulvodynia, and vulvar dermatoses. Simple clinical guidelines can be developed to improve the evaluation and treatment of these often long-suffering patients. Vulvodynia is different from itching or vulvar pruritus. Vulvodynia actually precludes itching because the burning and pain cause an intolerance to scratching. Over the years, the terminology used to describe vulvodynia has varied. The term vulvodynia has now been recommended by the International Society for the Study of Vulvar Disease (ISSVD) to describe any vulvar pain, regardless of etiology. The incidence of vulvodynia is not known but it is clearly more common than is generally thought. In a general gynecological practice the prevalence can be as high as 15% when actively looked for.
New Page 1
Provides information about disorders, selfexams and self-care tips. Disorders that are included are vulvodynia, lichen sclerosus, cancer and vulvar varicose veins.
http://www.vulvarhealth.org

Extractions: A Study on the Effectiveness of Elidel (topical pimicrelimus) for Women with Lichen Sclerosus For more information, or to learn how to participate, click here! * Still recruiting * Recommended Books about Vulvar Health "The V-Book: A Doctor's Guide to Complete Vulvovaginal Health " A landmark publication by respected vulvar specialist Dr. Elizabeth Stewart! Read our review here. "The Vulvodynia Survival Guide: How to Overcome Painful Vaginal Symptoms and Enjoy an Active Lifestyle" by Dr. Howard Glazer and Dr. Gae Rodke Buy it here! Recommend a Healthcare Provider Click here to recommend or click here to locate a provider near you New listings added on March 26 Share Your Story! Read others' experiences or submit your own. Visit our Stories page for more info. Contribute to Research on Vulvar Pain! Visit the National Vulvodynia Assocation for more information A 1995 medical article referred to vulvar cancer as "the Cinderella of gynaecologic oncology" because of the vast neglect paid to this type of cancer. There is something about the vulva that apparently makes it difficult, if not impossible, to talk about with one's friends, partner or healthcare provider. In most circles - among the general public and among healthcare providers -talking about the vulva means risking being told that the word "vulva" is offensive or even vulgar. We don't say those things in polite company.
Rowan's Resources
and resources for people with fibromyalgia and vulvodynia, but the Fibromyalgia/vulvodynia information and links
http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126
National Vulvodynia Association
In many cases of vulvodynia, pain occurs spontaneously. Vulvar vestibulitis, a type of vulvodynia refers to pain experienced only when pressure is applied
http://www.ivf.com/nvabackg.html

Extractions: Vulvodynia is diagnosed when other causes of vulvar pain, such as active yeast infection, herpes, skin disorders, and other bacterial infections are ruled out. Upon examination, the vulvar tissue may appear inflamed and swollen or it may look perfectly normal. It is common for a woman to consult several doctors before obtaining an accurate diagnosis. Currently there is no cure for vulvodynia. Treatments directed toward symptom relief include drug therapies such as tricyclic antidepressants or anticonvulsants, nerve blocks, interferon, biofeedback, and diet modification. Surgical intervention is an option for some women when more conservative treatments do not produce acceptable relief. How Can the NVA Help?
Vulval Pain Society
Aims to provide women with vulvodynia and other vulval diseases upto-date, accurate, non-biased information on treatment.
http://www.vul-pain.dircon.co.uk/
VULVODYNIA - 1) Imidazoles 2
One framework in which to approach vulvodynia is to try to differentiate it Essential vulvodynia often responds to tricyclic antidepressants such as
http://dermatology.cdlib.org/rxderm-archives/vulvodynia

Extractions: VULVODYNIA - 1) imidazoles 2) amitriptyline 3) calcium citrate, low oxalate diet 4) The Vulvar Pain Foundation 5) isoprenosine 6) doxepin 7) biofeedback 8) SSRIs 9) capsaicin 10) Aquanil HC 11) CAM 12) zonolon 13) dibucaine I have been caring for a 40 year old woman with dysplastic nevi for the past 6 or 7 years - one year ago she developed vulvar inflammation which has clinically cleared but has left her with vulvodynia which is severe enough to completely disrupt her life She has been seen by some of the best gynecologists in New York and they really have little to offer - she and I would be very happy to receive some clinical suggestions. She has been treated with Zovirax orally and topically, steroids topically, zinc oxide paste, silvadene,local anaesthetics, and topical antibacterials. A friend recently told here to use Crisco which helps a bit but the problem persists. What are the therapeutic pearls which I have not yet learned? Irwin Freedberg It is possible that the original inflammation was due to yeast, and that now she has the chronic low grade yeast described by Marilyn Mackay (?sp) which causes mild tender erythema of the vault. She treats with long term, months, of p.o. azoles. If she needs a lubricant the word in the community is Astroglide. Diane Thaler - The literature on vulvodynia is confusing, the nomenclature is ambiguous and the data is often sparse. One framework in which to approach vulvodynia is to try to differentiate it into vulvar vestibulitis, essential vulvodynia and cyclic vulvovaginitis. Topical treatment, though we all use it as first-line therapy, often is not sufficient in controlling the symptoms of any of these subtypes. Essential vulvodynia often responds to tricyclic anti-depressants such as amitriptyline. If you choose to use a tricyclic anti-depressant, to aid in compliance you might consider emphasizing its effect in altering the sensation of pain rather than its effect on depression. Concurrent emotional and psychological support can be invaluable. The use of oral calcium citrate along with a low oxalate diet is controversial but may help some women; the "natural" and nutritional approach is certainly attractive to many people. Even if these dietary measures are not helpful, they probably will not hurt your patient and may indeed assist in buying some time for other modalities to be efficacious. If finances permit, you might also consider referral to one of the nationally known vulvar specialists outside of NYC, as patients with vulvodynia are often desperate. A support group can be beneficial. While I have limited experience with "The Vulvar Pain Foundation", one patient of mine was grateful that I alerted her to them, as she no longer feels so isolated and embarrassed. The Vulvar Pain Foundation also publishes a newsletter. The address that I have is: The Vulvar Pain Foundation Post Office Drawer 177 Graham, NC 27253 Telephone, Tuesdays and Thursdays (910) 226-0704; Fax (910) 226-8518 Good luck with your patient-vulvodynia is a complex disorder that is frequently frustrating to both practitioner and patient. Some recent references: Dysesthetic ("Essential") Vulvodynia Treatment with Amitriptyline. McKay M. Jour Reprod Medicine 1993;38:9-13. Vulvar Pain Syndrome: A review. CME Review Article. Baggish MS, Miklos JR. Obstet and Gyn Survey 1995;50:618-27. Diagnosis and Treatment of Vulvodynia. Paavonen J. Annals of Medicine 1995;27:175-81. Stephen L. Comite MD - Here's one to try: Petersen CS and Weismann K, Isoprenosine improves symptoms in young females with chronic vulvodynia, Acta Dermatovenereologica, 1996:76(5) 404. Ten patients with chronic vulvodynia were treated with 1g po TID for 12 weeks. 4 of 10 became asymptomatic, 2 showed marked reduction of symptoms, no effect on the other 4. No adverse reactions were seen. Haines Ely - Amitriptyline or doxepin are the most helpful in my experience. I start with 25mg 2 to 3 hours before bedtime and then increase by 25mg increments at 1 to 2 week intervals as tolerated. The entire dose is given in the evening. Most women (and men with penile and scrotal pain) who will respond, do so at about 75mg per day. 60% of patients get enough relief to make life tolerable and about 40% will clear completely. Gae Rodke MD, a gynecologist in New York is doing some excellent work on biofeedback to allow pelvic floor relaxation. She is the best person in NYC for vulvodynia, I think. Her address is 146 Central park West, Suite 1G; tele # 496-9891. Peter Lynch - What does pelvic floor relaxation have to do with vulvodynia for goodness sake! Does this mean that women who do Kegel exercises (which I find suspect as well) will be at greater risk for vulvodynia? May we try oropharnx relaxation for glossodynia, or, do as Freud did and offer surgeries on the nose, removing bone and cartilage, as it is the organ most resembling the genitals, at least the male's? Diane Thaler - Re: the several posts questioning the rationale for the use of tricyclics and biofeedback for vulvodynia. First, definition and diagnosis. Before using the term vulvodynia it is, of course, necessary to rule out any recognizable (clinical or histological) disease such as LP, LS, candidiasis etc. Assumming that has been done, you are left with what (given today's level of knowledge, at least) is an idiopathic process. This idiopathic vulvar pain is then divided into two groups: those with visible (often punctate)vestibular redness (vestibulitis) and those with no visible change (essential vulvodynia). Second, is the process inflammatory? Biopsies from either vestibulitis (with redness) and from vulvodynia (without redness) reveal a few inflammatory cells (lymphocytes and plasma cells). However Moyal-Barracco et al note that redness of the type seen in vestibulitis occurs with equal frequency in a control population and Nylander Lundquist et al found about the same number of inflammatory cells in vulvar biopsies from control women. (I do not believe that either of these studies are as yet in press.) This suggests to me that inflammation is not a critical part of the condition. In any event, anti-inflammatory therapy does not work. Third, as is true with most idiopathic processes, treatment plans are arrived at empirically. Taking a leaf from the treatment of other chronic pain syndromes, tricyclics were tried. They worked. Published and presented reports indicate about a 60% response rate. It is interesting to speculate on why they might work. Since effectiveness, if it is to occur at all, begins more quickly, and at lower doses, than are required for the treatment of depression, the effect is probably via a different mechanism. That is, there may be a biochemical effect on neuropeptides that has nothing whatsoever to do with "psychologic" considerations. Fourth, tricyclics (and biofeedback) seem to me to represent a far safer approach to the treatment of pain than the laser and surgical options that are favored by many gynecologists. I have no problem with the use of other "reversible" medical forms of therapy but none of these has the established track record of tricyclics. Retin A and Zostrix, for instance have been tried and have failed to help. Fifth, I use tricyclics for men with penile and scrotal pain (as indicated earlier) as well as for lip, tongue, facial and scalp pain. They are equally (that is about 60%) effective in these conditions as well. Peter Lynch - Agreed that tricyclics work for certain pain. I agree with the distaste for the gyn approach. What about the pelvic floor relaxation, though. Or is the biofeedback working some other way. Another interesting idea in terms of pain is the SSRIs increasing ones pain threshold-maybe these could be given along with/without the tricyclics. And seriously, I have never seen a patient of Elavil informed of its obesity side effect. Diane Thaler - SSRIs don't work for pain in post-herpetic neuralgia (according to Dr. Peter Watson of Toronto, a world authority on that subject.) Elavil is thought to work (when it works) by increasing the tone in the adrenergic descending spinothalamic tracts which INHIBIT ascending pain impulses, preventing permanent (or long-lasting) modification of pain perception at the level of the CNS. This is why I give Elavil on Day One to people with zoster - to prevent post-herpetic neuralgia. A little Elavil early on saves a lot of trouble later. By analogy with PHN, I would choose Elavil over SSRI for vulvodynia - and I would administer it early rather than saving it for a last resort when all else has failed. Having said all of that, I have had better CLINICAL results in burning mouth and burning vagina with SSRIs than with Elavil, perhaps because what I'm treating in these cases is not a chronic pain syndrome per se, but a manifestation of depression. I've now moved on from SSRIs to the RIMA class of MAOIs - notably Manerix - because of a better side effect profile and almost complete absence of effect on sexual function. Kevin C. Smith MD FRCPC The sexual dysfunction with SSRIs may be overcome with amantadine, in some reports. Also, there is an OTC antihistamine which also works, but I have blanked out on which one. Wellbutrin also is a good one for people experiencing this problem on Prozac and Zoloft. Diane Thaler. - Periactin is probably the antihistamine you were trying to think of - has been reported to counter SSRI-associated sexual dysfunction. KC Smith MD FRCPC - How much will That cost? I can't even imagine the costs for this type of therapy near Park Avenue! Robert I. Rudolph, M.D., FACP - In reply to Dr. Rudolph regarding the cost of biofeedback (for vulvodynia) in NYC, I'm sorry, I don't know. Gae Rodke and her co worker presented their work as part of a study and I don't know if the study is ongoing or not. Peter Lynch - Two additional references on Vulvodynia Fitzpatricks's Journal of Clincial Dermatology Sept?Oct 1995 vol3 #5 pp9-12 Articles by Caroline S. Koblenzer, MD andLibby Edwards, MD Same Journal Jan/Feb 1994 pp37-38 Author Elaine T. Kaye, MD Bill Liss I might consider MRI of lower spine to r/o metastatic OR occult melanocytic disease or other disease, such as, degenerative osteoarthritis of spine with neural compression. Then, I would consider capsaicin, diluted in vehicle of your choice, with gradual increase in strength titrated to efficacy (as long as mucous membrane isn't involved). Patrick Carrington, M.D. - I have long considered that some cases of vulvodynia...and related pain syndromes at the same segments...might be related to occult entrapment syndromes similar to meralgia paresthetica. I was abit hesitant to suggest same in a public forum, but since Dr. Carrington brings up the subject, I think such an etiology merits some consideration. I might think of the situation in the same way as meralgia paresthetica, or even notalgia paresthetica. I am not sure how to prove it. I have been working with a very creative physiatrist in designing some tests to prove or disprove my theory. Certainly, Elavil is a very good agent in neuropathies of various types...I agree with Peter Lynch, and I use a similar approach. At the risk of being pilloried, would any of you wonder if standard chiropractic manipulations of the lumbar and sacral segments be of any value? Is accupunture to be considered? Elliot Puritz - Is the vulvodynia chronic or intermittant. If you do try Elavil, please warn the patient about weight gain. It brings to mind a survey done several years ago. When women were asked would they rather have a happy marriage or lose 10 pounds, they chose the weight loss. This might apply. I assume that vestibul"itis" implies histological/clinical inflammation. Clinically I understand the diagnosis is based on minute erythematous dots in the vestibule, associated with pain with Qtip pressure. For the life of me I can't understand why this "itis", as opposed to other inflammatory dermatoses, is treated with tricyclics and surgical excision. Where is the Plaquenil, the Dapsone, the ASA, the Doxycyline, and yes, the Accutane (as it is "glandular"). Dr. Fishers column in Cutis this month is about the perplexing problem of men who can't tolerate their pants. Elavil was not listed as therapies attempted, nor was surgical excision of their thighs. Diane Thaler - For topical Rx: 1. Topical doxepin is absorbed too much and ends up being sedating. It also occasionally behaves as a severe irritant. 2.. For local Rx of vulvar and perianal dermatoses I like Aquanil HC - lathered gently with a cotton ball or bare hand, then wiped off with a soft tissue. Not rinsing it leaves a thin soothing layer of it on raw tender skin. For daily cleansing plain Aquanil is great - less irritating than water when tested on diaper dermatitis. Gene Sienkiewicz, M. D. Gene, when I give acne patients samples of Aquanil, Cetaphil, SFC, and CAM lotion to try (along with Retin A), they always chose CAM. Have you tried the other soapless soaps? (CAM is made by Herald) Diane Thaler - Irwin, you might consider a consultation with a neurologist for a TCA, sometimes used in a variety of chronic pain syndromes. Jay Barnett Have you tried Zonolon cream? I recently had a similar patient who was helped tremendously by this. Jeff Marmelzat, M.D. I know it is not a cure for her problem, but perhaps Nupercainal ointment might afford her some relief. It is a vaseline base and delivers 1% dibucaine, an amide type anesthetic like lidocaine. She can buy it without a prescription next to the Anusol and Preparation H type stuff. E. Zabawski, DO, RPh I had a patient with intractable vulvdynia respond to capsacian cream. It might be worth a try, however, you would first warn her of the initial burning sensation accompanying the substance P depletion. Nortryptiline might also be worth trying. Rhett Drugge -
Healthubs.com
A brief definition of vulvodynia, followed by links to overviews, full text articles, diagnosis and treatment.
http://www.healthubs.com/vulvodynia
Vulvodynia
What is vulvodynia? vulvodynia is a syndrome of unknown etiology characterized by chronic vulvar discomfort that can result in both physical and emotional
http://www.sph.umich.edu/~bfoxman/vulvo.htm

Extractions: Medical textbooks recognized Vulvodynia around the turn of the 20th century. This disease went unnoticed in society until a dramatic increase in the number of cases once again brought Vulvodynia to attention in the mid-1980's. Although an estimated 150,000 to 300,000 women have Vulvodynia in the United States, very little is known about how this painful condition can be prevented, treated or cured. Symptoms An irritated, dry change to the skin of the vulva. Dilated, enflamed blood vessels in the underlying connective tissue. Severe inflamation of various glands within the vulvar vestibule. Scarring and contracture of the vulva and lower vagina.
Vulvodynia (burning Vulva). DermNet NZ
Authoritative facts about the skin from the New Zealand Dermatological Society.
http://www.dermnetnz.org/site-age-specific/vulvodynia.html

Extractions: Home Site age specific Vulvodynia is defined by the International Society for the Study of Vulvovaginal Diseases ( ISSVD ) as chronic vulvar discomfort or pain, characterised by burning, stinging, irritation or rawness of the female genitalia in cases in which there is no infection or skin disease of the vulva or vagina causing these symptoms. In 2004, the ISSVD recognised that vulvodynia can be generalised or localised. It may be provoked by sexual intercourse or other non-sexual factors (insertion of tampons, tight clothing etc.), unprovoked, or mixed (provoked and unprovoked). Refer to DermNet's page on genital skin problems for other conditions that may cause vulvar burning, stinging, irritation and rawness. Who gets vulvodynia?
Vulvodynia - Wikipedia, The Free Encyclopedia
The term vulvodynia is used to describe pain in the vulva, often severe, A wide variety of possible causes and treatments for vulvodynia are currently
http://en.wikipedia.org/wiki/Vulvodynia

Extractions: You did it! Over US$240,000 was donated in the 21-day fund drive. Thank you for your generosity! You are still welcome to make a donation or purchase Wikimedia merchandise The term vulvodynia is used to describe pain in the vulva , often severe, of unknown cause. Vulvar vestibulitis is a related term. A wide variety of possible causes and treatments for vulvodynia are currently being explored. Some possible causes include: allergy or other sensitivity to chemicals or organisms normally found in the environment, autoimmune disorder similar to lupus erythematosus , chronic tension or spasm of the muscles of the vulvar area. The guidelines in Vulvovaginal health may be of some help. edit Retrieved from " http://en.wikipedia.org/wiki/Vulvodynia Categories Pain Gynecology Views Personal tools Navigation Search Toolbox In other languages Deutsch Svenska This page was last modified 02:09, 6 September 2005.
Go Ask Alice!: What Is Vulvodynia And Vulvular Vestibulitis?
(1) Dear Alice, I have been told that I may have vulvodynia and am trying to find information in regards to this. Could you please elaborate?
http://www.goaskalice.columbia.edu/2278.html

Extractions: Mac users: please note that our site is optimized for the Safari browser Women's sexual health What is vulvodynia and vulvular vestibulitis? Originally Published: November 08, 2002 / Updated on: February 07, 2003 Dear Alice, I have been told that I may have Vulvodynia and am trying to find information in regards to this. Could you please elaborate? I am having trouble locating a doctor who is "up" on this and the treatment. What do you suggest? -Grateful Dear Alice, I have been diagnosed with a condition called Vulvodynia and have been put on antidepressants. I hate being on these, I feel tired all day because I don't sleep well, I have lots of burning windy tummy aches, I get hot flashes, I am 36, and I feel like life is no fun anymore. I want to come off the antidepressants. Do you know of any self help ideas for vulvodynia or vestibulitus? I feel desperate for help and my doctor is not easy to talk to. I have had to give up work due to this, and don't feel able to look forward to anything in case I am ill. I hope you can help. Love
Interstitial Cystitis Association - Related Diseases - Vulvar Pain
Generalized vulvodynia Vulvar pain caused by irritated or inflamed nerves. Vulvar vestibulitis and generalized vulvodynia are the most common forms of
http://www.ichelp.com/RelatedDiseases/VulvarPain.html

Extractions: ABOUT THE ICA PRESS RELEASES FEATURE ARTICLES PHYSICIANS' RESOURCES ... OUR SPONSORS (and free sample offers) IC Terminology Guide ICA Resource Materials Guide VULVAR PAIN What is Vulvodynia? The term vulvodynia is derived from "vulva" and the Greek word "odynia" meaning pain (pronounced vul-vo-DIN-ee-ah). There are two basic subtypes of vulvodynia, and they are not always easy to distinguish from each other: There are several other conditions that cause chronic vulvar pain that may coexist with vulvodynia. The most common of these are: Many doctors are still not familiar with vulvodynia and, as a result, patients are frequently misdiagnosed or go undiagnosed. The pain of vulvodynia isn't always accompanied by visible skin changes and sometimes patients are told, "It's all in your head." But the condition is very real.
Interstitial Cystitis Association - Related Diseases - The Latest Research On Vu
Like the ICA, the National vulvodynia Association (NVA) updates its Research on vulvodynia is showing that the vulvar area has some of the same types of
http://www.ichelp.com/RelatedDiseases/TheLatestResearchOnVulvodynia.html

Extractions: ABOUT THE ICA PRESS RELEASES FEATURE ARTICLES PHYSICIANS' RESOURCES ... OUR SPONSORS (and free sample offers) IC Terminology Guide ICA Resource Materials Guide Like the ICA, the National Vulvodynia Association (NVA) updates its membership about the latest research by mining the medical literature for the best and latest studies on vulvodynia. These are the articles appearing in the medical literature or studies presented at meetings between December 2003 and March 2004 that the NVA identified as important to women with vulvodynia. Because many women with IC also have vulvodynia, we bring you this research, too, summarized for patients. Receptors Important in IC Bladder Pain are Important in Vulvar Pain, Too Tympanidis P, Casula MA, Yiangou Y, Terenghi G, Dowd P, Anand P. Increased vanilloid receptor VR1 innervation in vulvodynia. Eur J Pain 2004;8(2):129-33. Research on vulvodynia is showing that the vulvar area has some of the same types of receptors that IC researchers think could be important in the bladder. These are receptors for compounds called vanilloids, which include capsaicin and resiniferatoxin. They are found on pain-sensing nerves and are sensitive, not only to these compounds, but also to noxious heat, protons, and chemicals produced during inflammation. When these researchers looked at vulvar tissue under the microscope, they found these receptors and the nerve fibers they are on are much more common in tissue from vulvodynia patients than in tissue from healthy subjects. The researchers hope that this means that compounds that block the vanilloids could provide new treatments for vulvodynia.
Vulvodynia & Homeopathy
Quick introduction to homeopathy all about what it is and how to use homeopathy for best effect. About like cures like, treating the whole person and
http://www.abchomeopathy.com/c.php/197

Extractions: Vulvodynia (User entered condition) Homeopathic remedies are prescribed by symptoms rather than conditions, as each case of a particular illness can manifest differently in different people. However, to make it quicker to find the symptoms related to Vulvodynia, the symptoms experienced by a previous vistor to our homeopathic remedy finder have been grouped, by them, under the name of Vulvodynia. There may be symptoms not related to Vulvodynia, and this may not be an exhaustive list of symptoms. For suggestions of homeopathic remedies for Vulvodynia, tick the boxes below and press the Find Remedies button at the bottom of the screen. On the next screen, you should enter any other symptoms in the search box. genitals; female; irritation; vagina; ; genitals; female; irritation; itching; vagina; ; genitals; female; irritation; itching; vagina; after sexual intercourse; ; genitals; female; irritation; itching; vagina; before period; ;
Vulvodynia
vulvodynia vulvodynia Information Web Portal Welcome to the first stop in an extensive collection of vulvodynia resources!
http://www.cannylink.com/diseasevulvodynia.htm

Extractions: Web www.CannyLink.com Chronic Vulvar Pain Dr. Glazer's Vulvodynia Website National Vulvodynia Association - nonprofit organization for women with vulvodynia, vulvar pain, and related disorders. Vulvodynia Information Web Portal Welcome to the first stop in an extensive collection of vulvodynia resources! Vulval Pain Society - information, links and resources for women who suffer from chronic vulval pain: vulvar vestibulitis, vulvodynia and/or dyspareunia. Vulvar Pain Foundation - grassroots support and information network for women with chronic vulvar pain.

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