VULVAR VESTIBULITIS - PREVALENCE AND HISTORIC FEATURES IN A GENERAL GYNECOLOGIC PRACTICE POPULATION

被引:198
作者
GOETSCH, MF [1 ]
机构
[1] OREGON HLTH SCI UNIV,DEPT OBSTET & GYNECOL,PORTLAND,OR 97201
关键词
VULVAR VESTIBULITIS; DYSPAREUNIA; FOCAL VULVITIS;
D O I
10.1016/0002-9378(91)91444-2
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
All gynecologic patients seen by the author during a 6-month period were questioned and examined by means of a swab test to determine the prevalence of vulvar vestibulitis and the normal variation in sensitivity of vestibular skin. Of 210 patients, 78 (37%) had some degree of positive testing. A total of 31 patients (15%) were found to fulfill the definition of vulvar vestibulitis. A questionnaire was administered to these patients as well as to seven patients in whom vestibulitis had been previously diagnosed. A total of 50% had always had pain, most since their teenage years. Their history was not suggestive of a cyclic or remittent pattern of symptoms. Those with secondary dyspareunia or resolution of pain were usually either in a post partum phase or had group B streptococcus or human papillomavirus. The two most severe cases of vestibulitis occurred after use of fluoroucil cream. A total of 32% had some female relative with dyspareunia or tampon intolerance, raising the issue of a genetic predisposition.
引用
收藏
页码:1609 / 1616
页数:8
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