Committee Opinion No 673: Persistent Vulvar Pain.
Committee Opinion No 673: Persistent Vulvar Pain.
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DOI：
10.1097/aog.0000000000001645
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发表时间：
2016-09-01
影响因子：
7.2
通讯作者：
中科院分区：
文献类型：
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持续性外阴疼痛是一种复杂的疾病，经常令患者和临床医生感到沮丧。它可能很难治疗，而且即使采用适当的治疗，快速缓解也是罕见的。外阴疼痛可以由特定的疾病引起，也可以是特发性的。特发性外阴疼痛被归类为外阴疼痛。尽管最佳治疗方法尚不清楚，但考虑采用个体化、多学科的方法来解决可能导致外阴疼痛的所有生理和情感方面的问题。可能需要参与的专家包括性顾问、临床心理学家、物理治疗师和疼痛专家。患者可能会认为这种方法意味着医生不相信他们的疼痛是“真实的”；因此，任何治疗方法都必须从详细的讨论开始，包括对诊断的解释和现实治疗目标的确定。未来的研究应该着眼于评估治疗外阴疼痛的多模式方法，同时对外阴疼痛的病因进行更多的研究。
Persistent vulvar pain is a complex disorder that frequently is frustrating to the patient and the clinician. It can be difficult to treat and rapid resolution is unusual, even with appropriate therapy. Vulvar pain can be caused by a specific disorder or it can be idiopathic. Idiopathic vulvar pain is classified as vulvodynia. Although optimal treatment remains unclear, consider an individualized, multidisciplinary approach to address all physical and emotional aspects possibly attributable to vulvodynia. Specialists who may need to be involved include sexual counselors, clinical psychologists, physical therapists, and pain specialists. Patients may perceive this approach to mean the practitioner does not believe their pain is "real"; thus, it is important to begin any treatment approach with a detailed discussion, including an explanation of the diagnosis and determination of realistic treatment goals. Future research should aim at evaluating a multimodal approach in the treatment of vulvodynia, along with more research on the etiologies of vulvodynia.