Vulvoldynia - Characteristics and associations with comorbidities and quality of life

被引:230
作者
Arnold, Lauren D.
Bachmann, Gloria A.
Rosen, Raymond
Kelly, Sarah
Rhoads, George G.
机构
[1] Univ Med & Dent New Jersey, Robert Wood Johnson Med Sch, Womens Hlth Inst, New Brunswick, NJ 08901 USA
[2] Univ Med & Dent New Jersey, Robert Wood Johnson Med Sch, Dept Psychiat, New Brunswick, NJ 08901 USA
[3] Univ Med & Dent New Jersey, Sch Publ Hlth, Dept Epidemiol, New Brunswick, NJ USA
关键词
D O I
10.1097/01.AOG.0000199951.26822.27
中图分类号
R71 [妇产科学];
学科分类号
100211 [妇产科学];
摘要
OBJECTIVE: This case-control survey compared health history and health care use of women with vulvodynia with a control group reporting absence of gynecologic pain. METHODS: Women with a clinically assessed diagnosis of vulvodynia and asymptomatic controls were matched for age and mailed a confidential survey that evaluated demographics, health history, use of the health care system, and history of vulvoclynia. Participants were all current or former ambulatory patients within a university health care system. RESULTS: Of the 512 questionnaires mailed to valid addresses, 70% (n = 91) of cases and 72% (n = 275) of controls responded, with 77 cases and 208 controls meeting eligibility criteria. Women with vulvoclynia reported a substantial negative impact on quality of life, with 42% feeling out of control of their lives and 60% feeling out of control of their bodies. Forty-one percent indicated a severe impact on their sexual lives. When comorbidities were evaluated individually and adjusted for age, fibromyalgia (odds ratio 3.84, 95% confidence interval 1.54-9.55) and irritable bowel syndrome (odds ratio 3.11, 95% confidence interval 1.60-6.05) were significantly associated with vulvoclynia. On a multivariate level, vulvoclynia was correlated with a history of chronic yeast vaginitis and urinary tract infections. CONCLUSION: This survey highlights the psychological distress associated with vulvoclynia and underscores the need for prospective studies to investigate the relationship between chronic bladder and vaginal infections as etiologies for this condition. As well, the association of vulvoclynia with other comorbid conditions, such as fibromyalgia and irritable bowel syndrome, needs to be further evaluated.
引用
收藏
页码:617 / 624
页数:8
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