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Topic: Vulvodynia



  
 Vulvodynia: Vulvar Pain
Vulvar vestibulitis is a type of vulvodynia in which pain is only experienced when pressure is applied to the vestibule, which is the area surrounding the entrance to the vagina.
Vulvodynia is defined as chronic vulvar discomfort or pain that can last anywhere from a few months to a few years.
The basis of this surgery is that the pudendal nerve may be a source for the pain involved in vulvodynia.
http://www.womenshealth.org/a/vulvodynia_vulvar_pain.htm   (769 words)

  
 Vulvodynia aHealthyAdvantage
Vulvodynia is a puzzling syndrome in which women feel chronic pain in the vulva, which consists of the external genitals (including the clitoris, the pubic mound, and the labia).
Experts say that vulvodynia, which literally means "vulvar pain," is more common than people think.
Much research is in progress looking at vulvodynia as an immunological problem similar to lupus and rheumatoid arthritis.
http://www.ahealthyadvantage.com/topic/vulvodynia   (1274 words)

  
 Vulvodynia and Vulvar Vestibulitis Syndrome FAQ v2.3 by Camilla Cracchiolo, RN
Vulvodynia is a medical term that means "painful vulva".
Another neurologic pain disorder that resembles vulvodynia is phantom limb pain, which probably involves the brain as well as damage to the nerves of the amputated limb.
One researcher has reported a higher incidence of vulvodynia in women who are infected with HIV, suggesting that a process similar to HIV-induced peripheral neuralgia may be at work.
http://www.obgyn.net/CPP/articles/Cracchiolo_0499.htm   (4556 words)

  
 pelvic pain & vulvodynia
The standard treatment for both CPP and vulvodynia is medication and the goal of drug therapy is to relieve pain and discomfort.
Dysesthetic vulvodynia is characterized by constant pain, usually burning pain when touched lightly or spasmodic stabbing pains with extreme skin sensitivity.
Furthermore, many patients with vulvodynia suffer from other chronic neurological problems such as burning and pain of the tongue and chronic facial pain.
http://www.seekwellness.com/incontinence/pelvic_health.htm   (3414 words)

  
 vulvodynia
However, vulvodynia is a pain condition resulting from physical factors.
Also external causes such as previous treatment such as laser surgery or sensitivity to corticosteroid drugs may play a role.
The condition can be extremely debilitating and can affect her whole outlook on life.
http://www.dyspareunia.org/html/vulvodynia.htm   (301 words)

  
 NIH Guide: PATHOPHYSIOLOGY, EPIDEMIOLOGY AND TREATMENT OF VULVODYNIA
Despite the use of surgery, pharmaceutical regimens, psychological support, physical therapy, and pain management techniques, such as biofeedback and behavior modification, there is no consensus on which procedure(s) offers the most improvement and patient satisfaction.
Consideration of these factors must be an integral part of the management of patients with vulvodynia and this underscores the need to examine this condition in a multidisciplinary context.
Research grant applications are encouraged that address preclinical or clinical, biomedical and/or behavioral research that concentrates on studies of relevance to vulvodynia.
http://grants.nih.gov/grants/guide/rfa-files/RFA-HD-00-008.html   (3406 words)

  
 VULVODYNIA: Causes, Diagnosis and Modern Therapy
Vulvodynia can be classified as primary, meaning the pain has been present since first sexual experience or tampon use, or as secondary, beginning after first tampon use or first sexual experience.
To understand vulvodynia, it is important to review the anatomy of the nerve supply in the pelvis.
Types of Neuropathic Pain Many physicians have conceptualized vulvodynia as neuropathic (nerve) pain, which can be classified as one of the following three types.
http://www.obgyn.net/cpp/vulvodynia.htm   (2244 words)

  
 Vulvodynia: Diagnosis and Treatment
The use of physical therapy to relieve vulvar pain should not be overlooked.
Recognizing the four specific subtypes of vulvodynia is important in the management approach.
The incidence of vulvodynia is not known but it is clearly more common than is generally thought.
http://www.tldp.com/issue/166/166vulvo.htm   (1694 words)

  
 Painful Intercourse: A Physical Therapy Approach to Treatment
Vulvodynia, of which vulvar vestibulitis is a subset, refers to vulvar pain, which is often chronic and unremitting.
Rosenbaum, T Physical Therapy Treatment of Vulvodynia: A hands-on Approach.
Overly contracted pelvic floor muscles perpetuate the painful condition by preventing healing and making attempted intercourse even more painful.
http://www.newshe.com/articles/rosenbaum.shtml   (1822 words)

  
 Vulvodynia
The main symptom of vulvodynia is pain in your genital area, which can be characterized by:
To cope with vulvodynia, biofeedback can teach you to relax your pelvic muscles, which can sometimes contract in anticipation of pain and actually cause chronic pain itself.
These descriptions may be characteristics of a lasting pain in the area around the opening of your vagina (vulva) called vulvodynia (vul-vo-DIN-ee-uh) or chronic vulvar pain.
http://www.cnn.com/HEALTH/library/DS/00159.html   (825 words)

  
 His and Her Health: Vulvodynia
She was referred to a support group and to a physical therapist specializing in women's health problems for pelvic strengthening, relaxation training and biofeedback training.
There is ongoing research into the cause and effective treatments for Vulvodynia in all of these areas.
Dr. Howard Glazer, Ph.D., applied biofeedback techniques to Vulvodynia and vulvar vestibulitis to relieve tension in pelvic muscles.
http://www.hisandherhealth.com/articles/vulvodynia.shtml   (2659 words)

  
 Case Report of Treatment Resistant Vulvodynia
As a result, atropine may be effective in treating vulvodynia by reducing the pain.
She simply explained that her "pain was entirely gone," she was "very pleased that finally" she had "a treatment that worked," and returned to talking about her relatives.
This case demonstrates that compounding is not merely an integral component of the profession of pharmacy, but it is also a useful tool for physicians in obtaining treatment options.
http://www.personalconsult.com/articles/vulvodynia.html   (1453 words)

  
 SOTA Technologies' Pain Relief Guide: Vulvodynia Pain
Some cases of vulvodynia may be due to compression or disease of the pudendal nerve, one of the main nerves that relays sensation to and from the genitals.
by Sota Omoigui, M.D. Description: Vulvodynia is a medical term that means 'painful vulva'.
Call your Doctor if your pain is severe or if you have a reaction to your medications.
http://www.medicinehouse.com/guidepages/PRvulvodynia.html   (1289 words)

  
 Vulvodynia: Vulvar Pain Clinics: Articles
Hyperalgesia is reflected in the exquisite 'tenderness evoked by gentle palpation with a cotton swab.
These observations suggest that the hyperemic vessels seen in vulvodynia are mediators (rather than sentinels) of the pain.
We have explored a variety of laser therapies in search of a more reliable and less mutilating approach.(98) In the mid-1980s we treated 36 patients with vulvodynia with the CO, laser.
http://www.vulvodynia.com.au/articles/002.html   (3799 words)

  
 National Vulvodynia Association
Vulvodynia, as with most chronic pain conditions, has a profound impact on quality of life.
Vulvar vestibulitis, a type of vulvodynia refers to pain experienced only when pressure is applied to the vestibule, the area surrounding the entrance to the vagina.
Because there is an urgent need for increased awareness of the existence of vulvodynia, the NVA provides information to both patients and doctors.
http://www.ivf.com/nvabackg.html   (791 words)

  
 VULVODYNIA
The purpose of this article is to introduce dermatologists to current perspectives on vulvodynia in the context of the clinical experience of the author, who has been actively involved in the multidisciplinary investigation of this problem since its recognition in the early 1980s.
Gynecologists searching for causes and surgical relief of vulvodynia have even reevaluated elements of vulvar anatomy.
Within the past decade, however, a number of investigators began to study patients with this frustrating problem.
http://www.medhelp.org/lib/vulva.htm   (455 words)

  
 Look for vulvodynia in patients with IC, pelvic pain - UrologyTimes
Clinically, she said, the pain falls into three categories: vulvar vestibulitis, which is pain localized to the vestibule, mainly at the posterior aspect of the vagina, in which pain with intercourse and tampon insertion is typical; generalized dysesthetic vulvodynia, with pain all over the perineal area; and a combination of the two.
Wesselmann is one of those researchers trying to trace the sources of vulvodynia pain and find effective therapy.
But research is beginning to tease out the sources of pain, and therapies aimed at treating neuropathic pain seem to offer the most effective approach to treatment today.
http://www.urologytimes.com/urologytimes/article/articleDetail.jsp?id=147445   (785 words)

  
 OB/GYN News: Psychological Factors Not Linked to Vulvodynia
Patients with chronic pelvic pain scored significantly higher than vulvodynia patients on measures of pain disability, affective distress, and somatic preoccupation.
Women in all three groups reported similar levels of marital satisfaction, positive and negative feelings toward their sexual partner in the prior week, and interest in sex.
All four patients who had previously quit work because of their pain had returned to work.
http://www.findarticles.com/p/articles/mi_m0CYD/is_23_34/ai_61621281   (647 words)

  
 Vulvodynia/Vulvar Vestibulitis
She had success in the>past with treatment of vulvodynia using traditional Chinese herbal medicines addressing the body as a whole system.
The bad side was that I would have to discontinue>herbal treatments for vulvodynia and was scared of what that would mean for the whole pregnancy and birth experience.
Your belief system may not mirror the way my healing circle was done, but I believe we must have experiences where we are heard and seen as whole especially with the difficulties vulvodynia brings.
http://www.oz.net/~maureenk   (4830 words)

  
 [No title]
Before using the term vulvodynia it is, of course, necessary to rule out any recognizable (clinical or histological) disease such as LP, LS, candidiasis etc. Assumming that has been done, you are left with what (given today's level of knowledge, at least) is an idiopathic process.
While I have limited experience with "The Vulvar Pain Foundation", one patient of mine was grateful that I alerted her to them, as she no longer feels so isolated and embarrassed.
This idiopathic vulvar pain is then divided into two groups: those with visible (often punctate)vestibular redness (vestibulitis) and those with no visible change (essential vulvodynia).
http://matrix.ucdavis.edu/rxderm-archives/vulvodynia   (1946 words)

  
 Salon.com Life Trouble down there
In her case, vulvodynia -- literally, pain in the vulva.
This "lifetime cumulative estimate" means that 14 million American women, of all races, will experience vulvodynia of some kind at some point -- 5 percent of women before age 25.
"It's the condition that everybody thought nobody had," says Christin Veasely, director of research and professional programs at the National Vulvodynia Association (NVA), a nonprofit organization created in 1994 to improve the lives of people affected by the condition.
http://www.salon.com/mwt/feature/2003/09/04/vulvodynia/index_np.html   (469 words)

  
 A Word About Vulvar Pain
The pain of vulvodynia is characteristically a burning pain that usually occurs primarily in response to pressure or stretching.
Women with this condition often have generalized vulvar skin pain and discomfort, including pain and/or itching, stinging, parchedness, drying, swelling, and drawing sensations all over the vulvar skin, or only certain parts of it, as well as in the rectal, or anal skin.
Other pain experienced by women with vulvar pain include burning pain across the pubic line, shooting pains through buttocks or thighs, and pain or numbness in other parts of the body.
http://www.vulvarpainfoundation.org/vpfabout.htm   (362 words)

  
 vulvodynia symptoms
For example, women with vestibulitis tend to experience pain from the 3 to 9 o'clock positions.
Your physician may also try to reproduce your pain by touching your vulva lightly with a Q-tip at various points.
It can also involve rehabilitation of the pelvic floor muscles or surgery.
http://www.dyspareunia.org/html/vulvodynia_symptoms.htm   (224 words)

  
 Vulvodynia Guestbook One
I am a Master Herbalist, hypnotherapist and meridian therapist who consults and educates clients about alternative therapies.
I would appreciate all the information you can give me on counselors in my area that not only deal with the depression associated with vulvodynia patients, but also with strained relationships.
It is another great place to exchange information about this syndrome and to learn about doctors that specialize in treating it.
http://www.vulvodynia.org/guestbk1.htm   (5362 words)

  
 Medical Library Search
One kind of vulvodynia — vestibulitis — causes pain of the vestibule.
Dealing with the chronic pain of vulvodynia can be hard.
The pain may occur when you urinate, insert a tampon, or have sex.
http://www.medem.com/search/article_display.cfm?path=n:&mstr=/ZZZ105KY77C.html&soc=ACOG&srch_typ=NAV_SERCH   (344 words)

  
 Interstitial Cystitis Association - Related Diseases - Vulvar Pain
The pain of vulvodynia isn't always accompanied by visible skin changes and sometimes patients are told, "It's all in your head." But the condition is very real.
Based on survey data, the researchers conservatively estimate that approximately five percent of all women will experience this condition before age 25, and it is likely that the actual number of women affected is much larger.
In 2003, the first comprehensive analysis of vulvodynia was reported in the April 2003 issue of The Journal of the American Women's Medical Association.
http://www.ichelp.org/RelatedDiseases/VulvarPain.html   (1597 words)

  
 UMHS Department of Obstetrics & Gynecology
Although the cause of vulvodynia cannot always be determined, it has been characterized well enough to allow treatment of the pain with a reasonable expectation of significant improvement, if not complete alleviation of pain.
It is clear that there is generally no relationship between vulvodynia and the subsequent development of vulvar cancer.
Some patients have lower back problems which may be associated with this pain also.
http://www.med.umich.edu/obgyn/vulva/vulvodyn.htm   (2083 words)

  
 Rowan's Resources: Fibromyalgia and Vulvodynia
Symptoms of vulvodynia include chronic pain, burning, itching, and/or rawness of the vulva (female genital tissue).
Many women with vulvodynia are misdiagnosed with vaginal infections, HPV (genital wart virus), or herpes.
The pain may be constant, intermittent, or may be experienced only when the vulva is touched or with penetration (i.e.
http://www.branwen.com/rowan/fibrovulvo.htm   (842 words)

  
 OBGYN.net - Vulvodyina FAQ's by Howard Glazer, MD
Many women with vulvodynia say that their pain began with vestibulitis and gradually spread in area; however, it is equally clear that not all vestibulitis will turn into vulvodynia.
This pain can be sharply focalized, and there may be small sores, bumps, or what feel like small grains of sand beneath the skin's surface in these areas.
There are frequent attempts to use surveys to discover what else may correlate with vulvar pain.
http://www.obgyn.net/cpp/cpp.asp?page=/cpp/articles/Glazer.vulvodynia_faq   (1360 words)

  
 Vulvodynia: Vulvar Pain Clinics: Welcome          Vestibulitis, ...
Unfortunately chronic vulvar pain conditions such as vulvodynia and vulvar vestibulitis, are frequently misunderstood and misdiagnosed.
Vulvodynia: Vulvar Pain Clinics: Welcome Vestibulitis, Vestibulodynia, Vaginal Pain, Sexual Pain
After eliminating the medical causes, vulvar pain can continue in varying degrees of severity.
http://www.vulvarpain.net   (435 words)

  
 Vulvodynia.com :: Vulvodynia Treatment
This website is dedicated to increasing the public awareness of vulvodynia and providing a forum for support and exchange of information for patients, their support networks, treating professionals, and researchers.
The work of Howard I.Glazer Ph.D. has led to the development of the first non-surgical, non-drug treatment with scientifically demonstrated clinical effectiveness in the treatment of vulvodynia.
A recent Continuing Medical Education CD-ROM by the American College of Obstetricians and Gynecologists, entitled "Classical Approaches to Vulvar Disease" specifically recognizes the Glazer Protocol as an effective treatment for vulvodynia.
http://www.vulvodynia.com   (405 words)

  
 Emory Healthcare: The private pain of vulvodynia
"Vulvodynia" refers to chronic pain in the vulva (external female genital area).
Vivien Hanson, M.D., research investigator and quality control coordinator at the University of Washington School of Medicine NCI Research Study says vulvodynia pain, typically burning or stinging, is located in the external genitals.
Jensen notes that most individuals get better with time, but "anyone with this chronic condition could benefit from support such as a sexual therapist experienced with vulvar pain to help with relationship issues."
http://www.emoryhospital.com/HealthGate/14718.html   (1040 words)

  
 WOMEN'S THERAPY CENTER - Sexual Health
As with vulvar vestibulitis, the treatment process of dysesthetic vulvodynia must be of a body-mind approach because both the body and the mind are affected!
The support system, which may include the partner, family and friends, becomes frustrated, impatient, resentful, hopeless, angry and withdrawn, which further propels the woman into a deeper sense of "I will never be able to live a normal life again."
In our extensive work with dysesthetic vulvodynia, we have identified the following seven main causes for this distressing condition, each necessitating a careful evaluation and personalized intervention:
http://www.womentc.com/vulvodynia.htm   (400 words)

  
 [No title]
These are open-ended questions about the way that vulvodynia has affected your life, and influenced your life choices and your self-image.
The questions cover five areas: medical history, personal meanings attached to vulvodynia, specific consequences of vulvodynia, reactions of others to your vulvodynia, interaction with the medical profession, and some general concluding questions.
There is no requirement that you identify yourself in any way, and all responses are completely anonymous.
http://www.humanities.ualberta.ca/survey/vulvodynia.htm   (735 words)

  
 Health Centres: Vulvodynia
This condition is closely related to a condition called vulvar vestibulitis where women experience pain around the opening of the vagina.
Women who experience it often describe vulvodynia as a burning or shooting pain throughout the vulva area.
Experts used to believe that sexual abuse was the primary cause of vulvodynia and that vulvodynia was a psychological condition not a physical one.
http://www.womenshealthmatters.ca/centres/pelvic_health/vulvodynia   (245 words)

  
 VULVODYNIA
Vulvodynia Biofeedback and Vulvovaginal Pain Biofeedback and Vulvovaginal Pain Summary of a Lecture by Howard I. Glazer, PhD From NVA News National Vulvodynia Association Fall, 1997 Vol.
Flashlamp-excited dye laser therapy of idiopathic vulvodynia is safe and efficacious.
Unfortunately, many doctors are unaware that these conditions even exist, and may mistakenly suggest to patients that this is a psychological condition.
http://www.edae.gr/vulvodynia.html   (2403 words)

  
 Amazon.com: Books: The Vulvodynia Survival Guide: How to Overcome Painful Vaginal Symptoms and Enjoy an Active Lifestyle
SIPs: vulvar pain patients, have vulvodynia, vulvar pain disorders, vulvodynia patients, vestibulitis patients (more)
The authors also give a brief lesson on the female anatomy which helps the reader identify the location of her pain as well as to be able to communicate more easily with her doctor.
The Vulvodynia Survival Guide, Could You Have Vulvodynia, Managing Your Chronic Pain, Expressing Your Sexuality, Getting the Help You Need, Crash Course, National Vulvodynia Association, Stanley Marinoff, Ursula Wesselmann
http://www.amazon.com/exec/obidos/tg/detail/-/1572242914?v=glance   (1412 words)

  
 Vulvar vestibulitis (localised provoked vulvodynia). DermNet NZ
Vulvar vestibulitis is the name that has been given to a type of vulvodynia or ‘vulvar dysaesthesia’ that is characterised by painful tender areas at the entrance to the vagina, the vestibule.
The Vulvodynia Survival Guide: How to Overcome Painful Vaginal Symptoms and Enjoy an Active Lifestyle
The V Book: A Doctor's Guide to Complete Vulvovaginal Health
http://www.dermnet.org.nz/dna.vv/vv.html   (764 words)

  
 Vulvodynia Support
She has about 100 patients with vulvodynia and has a special interest in this condition.
Choosing a doctor that is right for you is a personal and individual choice that you must make on your own.
What researchers are finding out about acupunture treatments for VV patients -- information on research findings regarding surgery and VV and more...
http://www.vulvodyniasupport.com/medical.html   (1402 words)

  
 What is Vulvodynia?
There are two major types of vulvodynia that are based on pain location.
Please contact the Sexual Health Research Laboratory in the Department of Psychology at Queen's University if you would like to obtain scientific articles on vulvodynia, if you have questions about the condition, or if you would like information about ongoing research studies.
2) The vulvodynia survival guide: How to overcome painful vaginal symptoms and enjoy an active lifestyle
http://pavlov.psyc.queensu.ca/faculty/pukall/whatisvulvodynia.htm   (924 words)

  
 Vulvodynia - Gynecology
As with most chronic pain states, Vulvodynia can have a profound, negative impact on a woman´s quality of life, interfering with her
Vulvar Vestibulitis, a form of Vulvodynia, pain is experienced only when pressure is applied to the vestibule (the area surrounding the
University of Michigan School of Medicine, will examine possible neuroimmunologic causes of Vulvodynia.
http://www.bellaonline.com/ArticlesP/art278.asp   (793 words)

  
 Vulvodynia- Health Encyclopedia and Reference
A surprising number of women suffer from a condition of chronic, unexplainable pain in the skin of the genitals, which has only recently begun to receive public attention and validation as a legitimate complaint.
To find more information on specific conditions, please visit our partner sites:
Vulvodynia is often characterized by burning discomfort, itching, throbbing, or tenderness of the vulva - sometimes in the labia, sometimes around the opening of the vagina, sometimes affecting the vestibular glands - which may be experienced either as diffused irritation or as specific painful spots.
http://www.healthcentral.com/encyclopedia/408/274/Vulvodynia.html   (670 words)

  
 Postgraduate Medicine: Women's Healthcare Symposium: Vulvar problems in elderly women
Although the mechanism of pain is uncertain, studies have shown a strong association between psychological distress and dyesthetic vulvodynia (17).
Among the clinically defined subsets of vulvodynia are vulvar vestibulitis and dysesthetic (essential) vulvodynia.
The cause of vulvodynia is unknown, but some of the many theories suggest chronic irritation from vulvovaginal candidiasis, vestibular papillomatosis caused by human papillomavirus, and reactions to chemicals used to treat condylomata.
http://www.postgradmed.com/issues/1997/09_97/barhan.htm   (2535 words)

  
 Vulvodynia is important cause of vulval pain -- Kirby and Yell 318 (7197): 1559 -- BMJ
Vulvodynia is important cause of vulval pain -- Kirby and Yell 318 (7197): 1559 -- BMJ
Patients with superficial vulval pain should be assessed in a specialist vulval clinic, as vulvodynia is otherwise often not
for the Study of Vulvar Disease defines vulvodynia as chronic
http://www.bmj.com/cgi/content/full/318/7197/1559/b   (181 words)

  
 Vulvodynia
Here in the Department of Epidemiology at The University of Michigan School of Public Health, our overall goal is to describe the potential associations of Vulvodynia with medical and sexual history, diet, health behavior and sociodemographic variables.
Vulvodynia is a syndrome of unknown etiology characterized by chronic vulvar discomfort that can result in both physical and emotional pain in the lives of affected women.
Women with Vulvodynia suffer from chronic debilitating pain of the vulvar area for which doctors can find no physical cause or cure.
http://www.sph.umich.edu/~bfoxman/vulvo.htm   (340 words)

  
 Interstitial Cystitis Network - Painful Bladder Syndrome, Chronic Pelvic Pain of the Bladder, Overactive Bladder, ...
This is a major breakthrough for patients struggling with vulvar or clitoral pain and discomfort, a common related condition to IC.
Researchers also patently rejected any assertion that vulvodynia is psychiatric in origin.
February 20, 2005 - ICN Clinical Trial Center
http://www.ic-network.com   (5295 words)

  
 Vulvodynia -- familydoctor.org
Vulvodynia (say: "vul-vo-din-ee-a") is the word for pain in the vulva.
The treatment depends on the cause of your vulvodynia.
What else can I do to help my symptoms?
http://familydoctor.org/handouts/367.html   (615 words)

  
 What is Vulvodynia? - DrDonnica.com - The First Name in Women's Health
As with most chronic pain conditions, vulvodynia can have a profound impact on quality of life.
Burning sensations are the most common, but vulvodynia pain varies highly in location and persistence.
Have you ever heard of vulvodynia?  Unfortunately, even many women who suffer from it have not heard this word because it is frequently overlooked or misdiagnosed.  Vulvodynia is a chronic vulvar discomfort or pain,  often characterized by complaints of burning, stinging, irritation or rawness in the vulvar area, or external female genitalia.
http://www.drdonnica.com/radio/00003715.htm   (163 words)

  
 NBC 17 - Health Watch - Physical Therapy Helps Treat Vulvodynia Pain
"Amy, instead of numbing the pain, taught me how to fix the pain," said vulvodynia patient Jaime McCarty.
NBC 17 - Health Watch - Physical Therapy Helps Treat Vulvodynia Pain
Kozak's symptoms were due to a condition called vulvodynia, reported WNBC-TV in New York.
http://www.nbc17.com/health/4771434/detail.html   (442 words)

  
 vulvodynia links
A very good place to start looking for resources on vulvar pain.
The site includes information on vulvodynia and a non-invasive, non-drug treatment of the disorder developed by a clinic physician.
This site is sponsored by the New York Center for vulvovaginal pain, a medical clinic specializing in the diagnosis and treatment of vulvovaginal pain disorders.
http://www.dyspareunia.org/html/vulvodynia_links.htm   (191 words)

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