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Diagnosis and management of vulvodynia in postmenopausal women.

Abstract：

:Vulvodynia, defined as vulvar pain or burning sensation for more than 3 months, without an identifiable cause, can occur at any age. In this paper, the authors address the classification, epidemiology, etiology, diagnosis, and treatment of this condition, focusing on postmenopausal women. In postmenopausal women, vulvar pain and dyspareunia can often be attributed to low levels of estrogen resulting in vulvovaginal atrophy. While correction of vulvovaginal atrophy is an important part of the management of these patients, it will usually be insufficient to manage vulvodynia. The treatment of vulvodynia includes general care measures, topical, oral, or injectable agents, psychological approaches, pelvic floor rehabilitation and, in some cases, surgery. No particular intervention has been shown to be superior, so a "trial and error" strategy is usually used.

journal_name

Maturitas

journal_title

Maturitas

authors

Vieira-Baptista P,Donders G,Margesson L,Edwards L,Haefner HK,Pérez-López FR

doi

10.1016/j.maturitas.2017.11.003

subject

Has Abstract

pub_date

2018-02-01 00:00:00

pages

84-94

eissn

0378-5122

issn

1873-4111

pii

S0378-5122(17)30956-8

journal_volume

108

pub_type

杂志文章,评审

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