VULVODYNIA – A CONTEMPORARY UNDERSTANDING AND PRACTICAL APPROACH IN PRIMARY CARE SETTINGS
- Author:
Sasikala Devi Amirthalingam
1
;
Sivalingam Nalliah
2
Author Information
- Publication Type:Review
- Keywords: Vulvodynia; Aetiology; Biopsychosocial model of care
- From:Malaysian Family Physician 2024;19(1):1-7
- CountryMalaysia
- Language:English
- Abstract: VULVODYNIA – A CONTEMPORARY UNDERSTANDING AND PRACTICAL APPROACH IN PRIMARY CARE SETTINGS:Vulvodynia manifests as persistent vulvar pain, affecting both sexual well-being and overall quality of life. While the precise cause remains elusive, various multifaceted predisposing and precipitating factors have been identified. Neurobiological and psychosocial elements contribute to a better understanding of the management of this complex disorder. Initial evaluation with detailed history-taking and focused pelvic examination are essential to exclude organic diseases contributing to vulvar pain. Management strategies are based on clinical experience, including non-pharmacological approaches and cognitive behavioural therapy. Oral pain-blocking medications such as serotonin–norepinephrine reuptake inhibitors and gabapentin as well as topical treatments such as oestrogen, lidocaine and gabapentin may be considered. More robust evidence is required for pharmacological treatments. Referral to a multidisciplinary team may be required in a proportion of patients who do not respond to conventional treatment. This concise review highlights the contemporary understanding of vulvodynia and proposes a practical approach within primary care settings.
- Full text:2026090917442016438Vulvodynia.pdf
