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Vulvodynia

Jessica N. Johnson, MD, MPH and Amy L. Wiser, MD Reviewed 06/2018
 


BASICS

DESCRIPTION

  • Vulvar pain lasting 3 months or more; occurs in the absence of relevant visible findings, relevant lab abnormalities, or a clinically identifiable neurologic disorder

  • 2015 ISSVD class...

DIAGNOSIS

  • Vulvodynia is a clinical diagnosis and it should be suspected in any women with chronic pain at the introitus and vulva.

  • Pain should be characterized using a standard measure such as the McGi...

TREATMENT

A trial of several medications for at least 3 months is usually needed. 

GENERAL MEASURES

Combining treatments should be encouraged when treating women with vulvodynia (4)[C]: Various reports ...

ONGOING CARE

PATIENT EDUCATION

Patients should be reassured that this condition is neither infectious, nor does it predispose to cancer (4)[C]. Counsel that condition is manageable, but likely not cura...

REFERENCES

1
Bornstein J, Goldstein AT, Stockdale CK, et al. 2015 ISSVD, ISSWSH and IPPS consensus terminology and classification of persistent vulvar pain and vulvodynia. Obstet Gynecol.  2016;12...

CODES

ICD10

  • N94.819 Vulvodynia, unspecified

  • N94.818 Other vulvodynia

  • N94.810 Vulvar vestibulitis

ICD9

  • 625.70 Vulvodynia, unspecified

  • 625.79 Other vulvodynia

  • 625.71 Vulvar vestibulitis

SNOMED

  • 238968009 vulvodyn...

CLINICAL PEARLS

  • Vulvodynia is a clinical diagnosis; it should be suspected in any woman with chronic pain at the introitus and vulva.

  • A decrease in pain may take weeks to months and may not be complete...

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