Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
5675970 | American Journal of Obstetrics and Gynecology | 2016 | 5 Pages |
Abstract
Women with provoked vestibulodynia who experience more severe pain with nongenital tender point palpation also experience more deep vaginal pain on pelvic exam. Those who fulfill the diagnosis of fibromyalgia show significantly more intense deep vaginal pain to palpation of iliococcygeus muscles and posterior vaginal wall. Further research using a more precise definition of fibromyalgia is necessary to confirm this relationship, but findings suggest that women with provoked vestibulodynia coexisting with fibromyalgia have greater risk of superimposed vaginal muscle pain and may be candidates for early adjunctive pelvic floor physical therapy. These findings need to be explored in women with generalized, nonprovoked vulvodynia.
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Authors
Nancy MD, Candace PharmD, Gloria MD, Jim PhD, Ronald PhD, Dagny PharmD, Candi PharmD, David MD,