Vulva

Publication Title: 
American Journal of Obstetrics and Gynecology
Author(s): 
French, A. P.
Publication Title: 
Journal of Lower Genital Tract Disease

OBJECTIVE: To provide a review of the literature and make known expert opinion regarding the treatment of vulvodynia. MATERIALS AND METHODS: Experts reviewed the existing literature to provide new definitions for vulvar pain and to describe treatments for this condition. RESULTS: Vulvodynia has been redefined by the International Society for the Study of Vulvovaginal Disease as vulvar discomfort in the absence of gross anatomic or neurologic findings. Classification is based further on whether the pain is generalized or localized and whether it is provoked, unprovoked, or both.

Author(s): 
Haefner, Hope K.
Collins, Michael E.
Davis, Gordon D.
Edwards, Libby
Foster, David C.
Hartmann, Elizabeth Dee Heaton
Kaufman, Raymond H.
Lynch, Peter J.
Margesson, Lynette J.
Moyal-Barracco, Micheline
Piper, Claudia K.
Reed, Barbara D.
Stewart, Elizabeth G.
Wilkinson, Edward J.
Publication Title: 
The Journal of Sexual Medicine

INTRODUCTION: Vulvar vestibulitis syndrome (VVS) is a common cause of vulvar pain. Therapeutic options target different pain systems believed to be involved in its development and maintenance. Most treatments target the pain component with the assumption that sexual function will increase once the pain has decreased, yet this is not necessarily the case. AIMS: Research has supported the effectiveness of hypnosis for many chronic pain disorders, and a case report demonstrated pain reduction and an increase in intercourse pleasure in a woman with VVS.

Author(s): 
Pukall, Caroline
Kandyba, Kristina
Amsel, Rhonda
Khalifé, Samir
Binik, Yitzchak
Publication Title: 
The Australian & New Zealand Journal of Obstetrics & Gynaecology

Hypnosis can be a useful therapeutic adjunct to pharmacological analgesia or anaesthesia in obstetrics. However, it is rarely considered a primary anaesthetic technique and is seldom employed in the acute surgical setting. Few obstetricians and anaesthetists currently utilise this technique in their clinical practice.

Author(s): 
Wong, Lufee
Cyna, Allan M.
Matthews, Geoffrey
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