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Vulvodynia Quiz

[fa icon="calendar'] Sep 30, 2016 5:49:31 PM / by Winter Ninivaggi

How much do you know about vulvodynia?Vulvodynia effects women of all ages and is characterized by chronic pain and irritation without cause of the genital area. Vulvodynia can effect even the most simple activities, such as sitting or wearing tight clothing. Mona Lisa Touch laser treatment isn't just for vaginal dryness but also has a range of benefits including the treatment of genitourinary syndrome and the treatment of vulvodynia. There is no reason to suffer anymore with chronic pain and irritation.

 1. Which of the following statements is/are most accurate about women with vulvodynia?

A.It affects an estimated 30% of women
B.Pain is described as burning, stinging, throbbing
C.A combination of multiple  treatments often improves symptoms
D. A and B
E. B and C

2. In addition to interfering with vaginal intercourse, symptoms of vulvodynia may interfere with which of the following activities?

A. Sitting
B. Exercise
C. Wearing tight clothing
D. B and C
E. All of the above

 3. During the initial evaluation of vulvodynia, the cotton swab test may systematically map affected areas of ___________________________.

A. The vestibule alone
B. The vestibule and perineum
C. The vestibule, perineum, and inner thigh

4. True or False. Pelvic rest, anti-inflammatory/antiallergenic therapy, and pelvic relaxation exercises are helpful for patients with vulvar vestibulitis syndrome (VVS).

A.True

B. False

5. Which of the following may be required in the treatment of pelvic muscle myalgia?

A. Pudendal block
B.Pelvic physiotherapy/biofeedback
C. A and B

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 Answer Key :

1. E. B and C - According to the 5th edition of The Johns Hopkins Manual of Gynecology and Obstetrics, the pain associated with vulvodynia, which affects nearly 15% of women, is often described as burning, stinging, or throbbing. The authors state that, “often, a combination of multiple treatments may be required to improve symptoms of vulvodynia.”

For complete information, see:

Jernigan AM, Giuntoli II RL. Chapter 44: Diseases of the Vulva and Vagina. The Johns Hopkins Manual of Gynecology and Obstetrics. In: Johnson CT, Hallock JL, Bienstock JL, et al. 5th edition. Philadelphia, PA:Wolters Kluwer;2015:568-570.

2. E. All of the above -  In addition to interfering with vaginal intercourse, symptoms of vulvodynia may interfere with sitting, exercise, and wearing tight clothing.

For complete information, see:

Jernigan AM, Giuntoli II RL. Chapter 44: Diseases of the Vulva and Vagina. The Johns Hopkins Manual of Gynecology and Obstetrics. In: Johnson CT, Hallock JL, Bienstock JL, et al. 5th edition. Philadelphia, PA:Wolters Kluwer;2015:568-570.

3. C. The vestibule, perineum, and inner thigh - During the initial evaluation, the cotton swab test may systematically map affected areas of the vestibule, perineum, and inner thigh.

For complete information, see:

Jernigan AM, Giuntoli II RL. Chapter 44: Diseases of the Vulva and Vagina. The Johns Hopkins Manual of Gynecology and Obstetrics. In: Johnson CT, Hallock JL, Bienstock JL, et al. 5th edition. Philadelphia, PA:Wolters Kluwer;2015:568-570.

4. A. True - Pelvic rest, anti-inflammatory/antiallergenic therapy, and pelvic relaxation exercises are helpful for patients with VVS.

For complete information, see:

Jernigan AM, Giuntoli II RL. Chapter 44: Diseases of the Vulva and Vagina. The Johns Hopkins Manual of Gynecology and Obstetrics. In: Johnson CT, Hallock JL, Bienstock JL, et al. 5th edition. Philadelphia, PA:Wolters Kluwer;2015:568-570.

5. C. A and B - According to the 5th edition of The Johns Hopkins Manual of Gynecology and Obstetrics, “[t]reatment of pelvic muscle myalgia may require pudendal block (triamcinolone + local anesthetic) and pelvic physiotherapy/biofeedback.”

For complete information, see:

Jernigan AM, Giuntoli II RL. Chapter 44: Diseases of the Vulva and Vagina. The Johns Hopkins Manual of Gynecology and Obstetrics. In: Johnson CT, Hallock JL, Bienstock JL, et al. 5th edition. Philadelphia, PA:Wolters Kluwer;2015:568-570.

 

 

Winter Ninivaggi

Written by Winter Ninivaggi

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Isadora Guggenheim, ND, RN, MS, CNS LMT, owner of Second Nature Naturopathic Care, LLC
For all appointments: Tel: 845 358-8385 Fax: 845 358-2963 drguggenheim@msn.com