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Topic: Vulvovaginal disorders

In the News (Tue 2 Dec 08)

Damian Green

Sumner Redstone

Crimson Tide

Tommy Tuberville

Bill Clinton

Wayne Rooney

Vilasrao Deshmukh

Wake Forest

Grand Slam

Oklahoma State

	Vulvovaginal Pain and Sex
		Although this may sound strange for doctors who specialize in treating vulvovaginal pain, many of my patients tell me that when they ask their gynecologist about details of sexual activity the doctor becomes visibly uncomfortable.
		As it turns out this is simply not the way it works for most vulvovaginal pain sufferers; they do not get back to sex spontaneously after their pain is gone because they have developed powerful habits of sexual avoidance and fear and often have little remaining libido.
		Reconnecting to your genitals, exploring them as a source of pleasure, and the extended psychological benefits of self acceptance and self respect are critical aspects in the rehabilitation of all vulvovaginal pain patients.
	www.vulvodynia.com /sex_art.htm (1012 words)

	Postgraduate Medicine: Women's Healthcare Symposium: Vulvar problems in elderly women
		In the case of recurrent vulvovaginal candidiasis resulting from sexual transmission, whether systemic therapy to decrease the candidal reservoir in the patient or her partner is effective in reducing recurrence is still controversial (8,9).
		The cause of vulvodynia is unknown, but some of the many theories suggest chronic irritation from vulvovaginal candidiasis, vestibular papillomatosis caused by human papillomavirus, and reactions to chemicals used to treat condylomata.
		Recurrent vulvovaginal candidiasis: a prospective study of the efficacy of maintenance ketoconazole therapy.
	www.postgradmed.com /issues/1997/09_97/barhan.htm (2535 words)

	THE MERCK MANUAL, Sec. 18, Ch. 238, Gynecologic Inflammation And Infections
		Chronic skin disorders, such as psoriasis and tinea versicolor, can affect the vulva and should be treated appropriately.
		Vulvovaginal infections affect primarily the vaginal mucosa and secondarily the vulva.
		Bacterial vaginosis represents 60% of all vulvovaginal infections.
	www.merck.com /mrkshared/mmanual/section18/chapter238/238a.jsp (2113 words)

	Vulvovaginal Pain Disorders (Site not responding. Last check: 2007-10-26)
		Vulvodynia is a descriptive, not a diagnostic, term covering a wide range of disorders which have, as one component, pain in the vulvar area.
		Although on the average, vulvovaginal pain patients have less contractile capacity, It was found that there is a subset of patients who were at treatment onset, not only very tense and unstable at rest but, despite this, were also quite strong (above 25mv on initial contractile evaluation).
		This population posed a challenge as the tradition in pelvic floor rehabilitation was to teach the patient to exclusively localize their contractions in the pubococcygeus muscle, to the exclusion of surrounding accessory muscle.
	www.bfe.org /protocol/pro11eng.htm (3038 words)

	eMedicine - Vulvovaginitis : Article by Omnia M Samra, MD (Site not responding. Last check: 2007-10-26)
		Vulvovaginitis is the most common gynecologic condition seen by practitioners rendering primary care to women.
		Traditionally, vulvovaginal candidiasis is not considered a sexually transmitted disease because it occurs in celibate women, and Candida itself is considered part of the normal vaginal flora.
		Vulvovaginitis is considered to be the most common gynecologic problem in premenarchal girls, although the actual incidence has not been cited.
	www.emedicine.com /med/topic3369.htm (6841 words)

	Vulvodynia About Dr Glazer
		International Society for the Study of Vulvovaginal Disease (ISSVD), a member of the Medical Board of the National Vulvodynia Association (NVA), and a member of the Editorial Advisory Board of the chronic pelvic pain section for OBGYN.net.
		Stanley C. Marinoff, MD, MPH, (left) Director of the Center for Vulvovaginal Disorders in Washington, DC, and clinical faculty member at George Washington University, and Dr. Howard Glazer are shown at the recent meeting of the
		Perry is the founder of applications of surface elctromyography to disorders of pelvic floor muscles.
	www.vulvodynia.com /about.htm (508 words)

	Vulvodynia: Vulvar Pain Clinics: Articles
		Vulvodynia is a descriptive, not a diagnostic, term covering a wide range of disorders which have, as one component, pain in the vulvar area.
		Although on the average, vulvovaginal pain patients have less contractile capacity, It was foun4 that there is a subset of patients who were at treatment onset, not only very tense and unstable at rest but, despite this, were also quite strong (above 25uv on initial contractile evaluation).
		This population posed a challenge as the tradition in pelvic floor rehabilitation was to teach the patient to exclusively localize their contractions in the pubococcygeus muscle, to the exclusion of surrounding accessory muscle.
	www.vulvodynia.com.au /articles/007.html (3316 words)

	THE MERCK MANUAL OF GERIATRICS, Ch. 118, Female Genital Disorders
		Urogenital atrophy due to hypoestrogenism predisposes postmenopausal women to common skin disorders of the vulva.
		Candidal vulvovaginitis is especially common among elderly women who are diabetic or obese.
		Candidal vulvovaginitis is diagnosed by physical examination and the use of a wet preparation, in which a cotton-tipped applicator is used to obtain a sample of the discharge from the posterior vaginal fornix.
	www.merck.com /mrkshared/mmg/sec14/ch118/ch118e.jsp (366 words)

	[No title]
		The word "complete" used in the title is most accurate, as The V Book covers a wide variety of vulvovaginal concerns including: physiological anatomy and functioning, changes in sexual and reproductive organs with age and hormonal affects, hygiene, sexual relationships, gynecological examinations, infections, disorders, and disease.
		There is much power for women knowing that they are not alone in their vulvar disorders, that someone believes that they have vulvar problems even though they may not be immediately visible, and that they can read that there is help and information.
		Although vulvovaginal health information is attracting more attention and is slowly expanding with the efforts of women's sexual health advocates, the lack of information and lack of vulvovaginal health specialists available are few.
	www.sexualitytutor.homestead.com /TheVBook.html (1365 words)

	NVA.org - Medical-Scientific Advisory Board
		He is a member of the International Society for the Study of Vulvovaginal Disease (ISSVD) and a member of the Editorial Advisory Board of the chronic pelvic pain section for OBGYN.net.
		His recent research has focused on psychiatric disorders and their relation to reproductive function and gynecological morbidity, as well as etiological factors related to vulvodynia.
		Her recent book on vulvovaginal health, The V Book, was released by Bantam in July 2002.
	www.nva.org /about_nva/medical_advisory_board.html (1267 words)

	Women's Health and Education Center - Vulvodynia
		Vulvovaginal disorders are increasingly recognized as a source of significant pain and discomfort and lead to a substantial decrease in quality of life for many women.
		The condition that we now know as vulvodynia was first described in 1889 as "excessive sensitive" or " hyperesthesia'' of the vulva by Skene, who noted that despite the absence of visible manifestation of vulvar disease, some patients experienced exquisite pain.
		It is important to explain to the patient that antidepressants are used for their suppressive effect on cutaneous nerve endings, and not for their psychotropic effect; otherwise, a patient might assume that she is covertly being treated for a depressive disorder.
	www.womenshealthsection.com /content/print.php3?title=gyn005&cat=3&lng=english (1108 words)

	List of medical topics - Wikipedia, the free encyclopedia
		Specific topics (including diseases, disorders, medications, and treatments) which appear on one of the lists above have been omitted from this list.
		Etiology - cause or source of a disorder
		Psychiatry - study of mental and emotional disorders
	en.wikipedia.org /wiki/List_of_medical_topics (427 words)

	Vulvodynia Biofeedback Articles
		Vulvovaginal Pain Disorders and Sexual Functioning This article appears in the NVA Newsletter Fall, 2000 and the ICA Update, April, 2000 discussing vulvovaginal pain and sexual functioning.
		BFE article on Biofeedback for Vulvovaginal Pain This article appears as one in a series of Biofeedback Application articles.
		Intravaginal Surface Electromyography in the Diagnosis and Treatment of Vulvovaginal Pain Disorders.
	www.vulvodynia.com /bio_art.htm (243 words)

	Department Of OB/GYN (Site not responding. Last check: 2007-10-26)
		The outpatient R4 and the ambulatory R2 staff the clinic with oversight by Dr. Foster, an expert in vulvovaginal disorders.
		The colposcopy clinic at Highland Hospital is staffed by the ambulatory R3 with oversight by the staff attendings.
		The education objectives of this clinic include providing age-appropriate gynecologic examinations, understanding the different instruments and equipment that allow us to examine young children and teens, and addressing the special needs for the adolescent examination especially if this is her first examination.
	www.urmc.rochester.edu /obgyn/residency/clinicalgoals.aspx (834 words)

	Biofeedback vs Electrophysiology - November 2005 - Rehab Management - The Interdisciplinary Journal of Rehabilitation
		Previous applications of biofeedback for treating pelvic floor muscle related disorders viewed the symptom, prolapse, incontinence, or retention, as a direct consequence of pelvic floor muscle dysfunction, weakness, or hypertonicity.
		In vulvovaginal pain disorders, the muscle is not viewed as the source of the pain disorder.
		Each new patient is both added to the database and compared to the database, which is then used to assist in the diagnosis of the disorder and the determination of a specific muscle rehabilitation protocol.
	www.rehabpub.com /features/112005/4.asp (1635 words)

	The V Book - About the Book (Site not responding. Last check: 2007-10-26)
		The V Book focuses specifically on vulvovaginal matters: the latest research translated into understandable explanations, combined with my experience, the insight of my colleagues, and a framework that aims to make this knowledge both accessible and interesting.
		Next come all kinds of skin disorders, many of which are familiar elsewhere in the body but can affect the vulva, too.
		In addition to vaginitis and skin disorders, there’s a third major V problem that is of great interest to me-- pain.
	www.thevbook.com /vbook.html (940 words)

	Interstitial Cystitis Association - Related Diseases - Vulvovaginal Pain Disorders and Sexual Functioning
		He specializes in the use of pelvic floor muscle surface electromyography and sexual counseling in the treatment of vulvovaginal pain disorders.
		I confess that when I first started working with vulvovaginal pain patients using pelvic floor muscle rehabilitation techniques, I specifically stayed away from dealing with the sexual aspects of these problems, because I too had been clinically trained to assume there must be some psychological underpinnings to these vulvovaginal pain conditions.
		Reconnecting to your genitals, exploring them as a source of pleasure, and the extended psychological benefit of self-acceptance should be critical aspects in the rehabilitation of all vulvovaginal pain patients.
	www.ichelp.org /RelatedDiseases/VulvovaginalPain.html (1290 words)

	BioMedical Instruments -- (Site not responding. Last check: 2007-10-26)
		To instruct participants in an evaluative procedure as an aid in the diagnosis of vulvovaginal pain.
		Introduction to biofeedback and relevant research from which the Glazer protocol was developed, to ensure that participants have the knowledge to complement their own experience and understand elements in SEMG technology and the research important to pelvic floor muscle rehabilitation.
		Attitudes and understanding of clinicians to accept the use of SEMG biofeedback to treat vulvovaginal pain and integrate this new technology into their traditional practice.
	www.bio-medical.com /vuvlovaginal_apr_7-8_jun_9-10_aug_11-12_oct_27-28.html (585 words)

	Bio-Medical Instruments -- (Site not responding. Last check: 2007-10-26)
		The objective of the second day is to instruct participants in an evaluative procedure as an aid in the diagnosis of vulvovaginal pain.
		The use of biofeedback is relatively new; however, serveral studies have shown both its reproducibility and efficacy as a treatment modality.
		Glazer provides an "informal" overview of research on biofeedback and pelvic floor pain research on the clinical validity and use of surface electromyography (sEMG) biofeedback in the diagnosis and treatment of vulvovaginal pain disorders is also discussed.
	www.bio-medical.com /workshop_006.html (941 words)

	UpToDate Vulvovaginal complaints in the prepubertal child
		— Vulvovaginal complaints in prepubertal children may be the result of infection, congenital abnormalities, trauma, or dermatologic conditions.
		— Nonspecific vulvovaginitis is responsible for 25 to 75 percent of vulvovaginitis in prepubertal girls.
		There are a number of factors in children that increase their risk of vulvovaginitis: lack of labial development, unestrogenized thin mucosa, more alkaline pH (pH 7) than postmenarchal girls/women, poor hygiene, bubble baths, shampoos, deodorant soaps, obesity, foreign bodies (see below), and choice of clothing (leotards, tights, and blue jeans).
	patients.uptodate.com /topic.asp?file=gen_gyne/13068 (372 words)

	Intimacy & Sexuality: Vulvovaginal Pain Disorders and Sexual Functioning
		I confess that when I first started working with vulvovaginal pain patients using pelvic floor muscle rehabilitation techniques, I specifically stayed away from dealing with the sexual aspects of these problems, because I too had been clincally trained to assume there must be some psychological underpinnings to these vulvovaginal pain conditions.
		I had all my patients start re-experiencing orgasms (or for some, learning how to have them for the first time), conducting non-penetrative sexual activities with their partners; I encouraged them to become friendly with their genitals, their appearance, sensations, anatomy, etc.
		Reconnecting to their genitals, exploring them as a source of pleasure, and the extended psychological benefit of self-acceptance are critical aspects in the rehabilitation of all vulvovaginal pain patients.
	www.selfhelpmagazine.com /articles/sex/pain.html (1033 words)

	Goldstein, Andrew - Biography
		He became the director of the Center for Vulvovaginal Disorders in Washington, DC in 2002.
		Goldstein is board certified by the American Board of Obstetrics and Gynecology and has been elected to the International Society for the Study of Vulvovaginal Disease (ISSVD) and to the American Society for Colposcopy and Cervical Pathology (ASSCP).
		Goldstein is a grant recipient of the National Vulvodynia Association, and is a founding member of the International Society for the Study of Women's Sexual Health (ISSWSH).
	my.webmd.com /content/Biography/8/99837.htm (258 words)

	AGS RASP :: Welcome to RASP Acknowledgements
		The nature of atrophic postmenopausal vulvovaginal changes is reasonably well established, but the contributions to these changes of aging, factors common in aging, and hypoestrinism are unclear.
		Data regarding the prevalence of symptomatic vulvovaginal changes with aging are divergent and difficult to obtain without the inclusion of urologic symptoms such as dysuria, frequency, urgency, and urge incontinence.
		Clinically assessed vulvovaginal atrophy was evident in 34% of women evaluated in a menopause clinic.
	www.frycomm.com /ags/rasp/chapter.asp?ch=9 (14562 words)

	Vulvovaginal disorders: 4 challenging conditions — OBG Management
		Vulvovaginal disorders: 4 challenging conditions — OBG Management
		The challenge is tracing these general symptoms to a specific pathology, a task harder than one might expect, because vulvovaginal conditions often represent a complex mix of several problems.
		Vulvodynia may be the ultimate outcome, possibly from central sensitization after chronic inflammation, which in turn can mislead the clinician into thinking appropriate therapy “doesn’t work.” And it is important to remember that any genital complaint has the potential to dampen a woman’s self-esteem and hamper sexual function.
	www.obgmanagement.com /article_pages.asp?AID=3918 (3127 words)

	[No title] (Site not responding. Last check: 2007-10-26)
		_PID_GUIDäAN{D52707D4-4A5D-4F19-AA00- Vulvovaginal Pain Disorders and Sexual Functioning By Howard Glazer, Ph.D. Dr. Glazer is a clinical associate professor of Psychology in Psychiatry, and in Obstetrics and Gynecology, at Cornell University Medical College, and an associate attending psychologist at New York Presbyterian Hospital.
		His practice is limited to the use of pelvic floor muscle surface electromyography and sexual counseling in the treatment of vulvovaginal pain disorders.
		Reconnecting to your genitals, exploring them as a source of pleasure, and the extended psychological benefit of self-acceptance are critical aspects in the rehabilitation of all vulvovaginal pain patients.
	www.pelvicpain.org /resources/glazer.doc (1206 words)

	Welcome \| Vulvovaginitis \| Women's Health Services \| Fletcher Allen Health Care
		Vulvovaginal disorders comprise an important collection of health concerns for women.
		Some women are plagued by persistent vulvovaginal irritation, discharge or itching.
		Sometimes these problems lead to such discomfort that their daily work and leisure activities are affected.
	www.fahc.org /Womens_Health/Vulvovaginal_Disease (121 words)

	News - Neither History Nor Clinical Exam Help Identify Positive Vaginal Candida Infection
		Among women with recurrent vulvovaginal candidosis, neither history nor findings at a clinical examination can distinguish between women who will have a positive culture from those who will have a negative culture for Candida, Swedish investigators have found.
		Candida cultures were taken from the introitus and the posterior vaginal fornix.
		Edema of the vulva, as well as erythema, edema of the vaginal mucosa and caseous discharge, were found more often in the Candida positive women.
	www.docguide.com /news/content.nsf/news/8525697700573E1885256C6C00213A73 (498 words)

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