Vulvodynia: Definition, Prevalence, Impact, and Pathophysiological Factors
Vulvodynia: Definition, Prevalence, Impact, and Pathophysiological Factors
复制标题
DOI：
10.1016/j.jsxm.2015.12.021
复制
发表时间：
2016-03-01
影响因子：
3.5
通讯作者：
Bachmann, Gloria
中科院分区：
文献类型：
--
作者：
Pukall, Caroline F.;Goldstein, Andrew T.;Bachmann, Gloria
目的：更新2010年第三届国际性医学咨询会议发表的关于女性性痛的定义、患病率、影响和病理生理因素的科学证据。方法：作为第四届国际性医学会诊的一部分，由生物和社会科学学科的研究人员和临床医生组成的专家委员会，回顾了有关慢性生殖器疼痛的定义、患病率、影响和病理生理因素的科学证据。主要观察指标：回顾与慢性生殖器疼痛相关的定义、患病率、影响和病理生理因素。结果：外阴疼痛是一种普遍存在且影响很大的生殖器疼痛状况。它的发展和维持涉及多种因素。结论：越来越明显的是，它可能代表着不同因素的终点，不同的患者可能不同。需要进行纵向研究，以阐明外阴疼痛表现所涉及的危险因素，以及受影响患者的潜在亚群，以便开发经验性支持的治疗算法。版权所有(C)2016，国际性医学学会。爱思唯尔公司出版，版权所有。
Introduction: Vulvodynia constitutes a highly prevalent form of chronic genital pain in women, and current information regarding its definition, prevalence, impact, and pathophysiologic factors involved is needed.Aim: To update the scientific evidence published in 2010 from the Third International Consultation of Sexual Medicine pertaining to the definition, prevalence, impact, and pathophysiologic factors of women's sexual pain.Methods: An expert committee, as part of the Fourth International Consultation of Sexual Medicine, comprised of researchers and clinicians from biological and social science disciplines, reviewed the scientific evidence on the definition, prevalence, impact, and pathophysiologic factors related to chronic genital pain.Main Outcome Measures: A review of the definition, prevalence, impact, and pathophysiological factors involved in vulvodynia.Results: Vulvodynia is a prevalent and highly impactful genital pain condition. Numerous factors have been implicated in its development and maintenance.Conclusion: What is becoming increasingly apparent is that it likely represents the end point of different factors that can differ from patient to patient. Longitudinal research is needed to shed light on risk factors involved in the expression of vulvodynia, as well as in potential subgroups of affected patients, in order to develop an empirically supported treatment algorithm. Copyright (C) 2016, International Society for Sexual Medicine. Published by Elsevier Inc. All rights reserved.