In this subgroup, pelvic floor (PF) muscles become tight and tender. Typically, the pain is much worse at 4-8 o'clock position of the vestibule with minimal or no pain in the upper vestibule.

The pain began while taking hormonal contraceptive or other medications that affect hormones, after removal of ovaries, breastfeeding or menopause. The entire vestibule is tender and vestibular mucosa is often dry and thin.

In this condition, we speculate that women have an increased number of nociceptors in the vestibular mucosa. Pain is primary and there is tenderness of the entire vestibule.

Localized Provoked Vulvodynia

Pelvic floor physical therapy

estriol cream (ovestin)

Low-level-laser therapy

Merkaz Briot Haisha, Ramat Eshkol

The Reciprocal Relations Between Psychosocial Characteristics and the Progression of Vestibulodynia

The Reciprocal Relations Between Psychosocial Characteristics and the Progression of Vestibulodynia, and the Mental Health of the Patient

The exam is performed by touching the vestibule with a cotton-tip applicator in 6 defined points (2,5,6,7, 10 and 12),while the patient is being asked to rate the intensity of pain verbally from 0 to 10 at each point.

Adherence to therapy will be assessed by calculating attendance to planed appointments (physical therapy, medical appointments and LLL treatments)

Pelvic floor muscle tonicity will be evaluated using manual palpation of the muscles by the physician.

vulvodynia/kalium

The Reciprocal Relations Between Psychosocial Characteristics and the Progression of Vestibulodynia

A Trial of Intravesical Therapy for Interstitial Cystitis in Patients With Generalized Vulvodynia

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