Articles Vol. 65 No. CĐ 4 - Hội Y học Giới tính Việt Nam 30/05/2024

19. OVERVIEW OF DIAGNOSIS AND TREATMENT OF FEMALE GENITAL - PELVIC PAIN DYSFUNCTION

Pham Minh Ngoc1,2, Dinh Huu Viet1,2, Nguyen Quang3,4
1 Hanoi Andrology and Fertility Hospital
2 Bệnh viện Nam học và Hiếm muộn Hà Nội
3 Viet Duc University Hospital
4 Bệnh viện Hữu Nghị Việt Đức
Corresponding author: bsngocnamkhoa@gmail.com
DOI: 10.52163/yhc.v65iCD4.1168
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Keywords
Female sexual dysfunction, female genital - pelvic pain dysfunction, dyspareunia, vulvodynia.
Abstract

Objective: To develop an overview of the diagnosis, approach, and treatment of Female genital – pelvic pain dysfunction.

Subject and method: Synthesis and analysis of studies on Female genital – pelvic pain dysfunction and the latest guidelines on diagnosis and treatment of the International Society for the Study of Women’s Sexual Health, The International Society for the Vulvovaginal Disease, The International Pelvic Pain Society.

Results: Complete an update on the diagnosis and treatment of Female genital – pelvic pain dysfunction.

Conclusions: The ISSVD, ISSWSH, and IPPS adopted a new vulvar pain and vulvodynia terminology, divides vulvar pain into two overarching categories: Vulvar pain related to a specific disorder and Vulvodynia. Pelvic genitourinary examination should be performed in all patients. Treatments should be individualized, and a multimodal treatment approach to address all aspects of pain is recommended. If appropriate, should start with conservative medical non-invasive approaches. It will rarely be necessary to escalate to surgical interventions.

References
[1]
Goldstein AT, Pukall CF, Brown C et al., Google Scholar
[2]
Vulvodynia: Assessment and treatment. J Sex Google Scholar
[3]
Med; 13:572, 2016. Google Scholar
[4]
Bornstein J, Goldstein AT, Stockdale CK et al., Google Scholar
[5]
ISSVD, ISSWSH, and IPPS consensus Google Scholar
[6]
terminology and classification of persistent Google Scholar
[7]
vulvar pain and vulvodynia. J. Sex. Med. 13 (4): Google Scholar
[8]
–612, 2016. Google Scholar
[9]
Herbenick D et al., Pain experienced during Google Scholar
[10]
vaginal and anal intercourse with other‐sex Google Scholar
[11]
partners: findings from a nationally representative Google Scholar
[12]
probability study in the United States. J Sex Google Scholar
[13]
Med.;12(4):1040–1051, 2015. Google Scholar
[14]
Reed BD, Advincula AP, Fonde KR et al., Sexual Google Scholar
[15]
activities and attitudes of women with vulvar Google Scholar
[16]
dysesthesia. Obstet Gynecol; 102: 325–31, 2003. Google Scholar
[17]
Gentilcore‐Saulnier E, McLean L, Goldfinger Google Scholar
[18]
C et al., Pelvic floor muscle assessment Google Scholar
[19]
outcomes in women with and without provoked Google Scholar
[20]
vestibulodynia and the impact of a physical Google Scholar
[21]
therapy program. J Sex Med;7:1003–1022, 2010. Google Scholar
[22]
Goldfinger C, Pukall CF, Thibault‐Gagnon S Google Scholar
[23]
et al., Effectiveness of cognitive‐behavioral Google Scholar
[24]
therapy and physical therapy for provoked Google Scholar
[25]
vestibulodynia: A randomized pilot study. J Sex Google Scholar
[26]
Med;13:88–94, 2016. Google Scholar
[27]
Sorensen J, Bautista KE, Lamvu G et al., Google Scholar
[28]
Evaluation and Treatment of Female Sexual Google Scholar
[29]
Pain: A Clinical Review. Cureus;10(3):e2379, Google Scholar
[30]
Murina F, Karram M, Salvatore S et al., Fractional Google Scholar
[31]
CO2 Laser Treatment of the vestibule for Google Scholar
[32]
patients with vestibulodynia and genitourinary Google Scholar
[33]
syndrome of menopause: a pilot study. J Sex Google Scholar
[34]
Med.;13:1915–1917, 2016. Google Scholar