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Prevalence of symptoms consistent with a diagnosis of vulvodynia: population-based estimates from 2 geographic regions.

Abstract：

OBJECTIVE:We used validated sensitive and specific questions associated with clinically confirmed diagnoses of unexplained vulvar pain (vulvodynia) to compare the cumulative incidence of vulvar pain and prevalence of care-seeking behavior in Boston metropolitan area (BMA) and in Minneapolis/Saint Paul metropolitan area (MSP) from 2001 through 2005 using census-based data, and 2010 through 2012, using outpatient community-clinic data, respectively. STUDY DESIGN:We received self-administered questionnaires from 5440 women in BMA and 13,681 in MSP, 18-40 years of age, describing their history of vulvar burning or pain on contact that persisted >3 months that limited/prevented intercourse. RESULTS:By age 40 years, 7-8% in BMA and MSP reported vulvar pain consistent with vulvodynia. Women of Hispanic origin compared to whites were 1.4 times more likely to develop vulvar pain symptoms (95% confidence interval, 1.1-1.8). Many women in MSP (48%) and BMA (30%) never sought treatment, and >50% who sought care with known health care access received no diagnosis. CONCLUSION:Using identical screening methods, we report high prevalence of vulvar pain in 2 geographic regions, and that access to health care does not increase the likelihood of seeking care for chronic vulvar pain.

journal_name

Am J Obstet Gynecol

journal_title

American journal of obstetrics and gynecology

authors

Harlow BL,Kunitz CG,Nguyen RH,Rydell SA,Turner RM,MacLehose RF

doi

10.1016/j.ajog.2013.09.033

subject

Has Abstract

pub_date

2014-01-01 00:00:00

pages

40.e1-8

issue

1

eissn

0002-9378

issn

1097-6868

pii

S0002-9378(13)00987-3

journal_volume

210

pub_type

杂志文章

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