Gynecology Book

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Generalized Vulvar Dysesthesia

Aka: Generalized Vulvar Dysesthesia, Generalized Vulvodynia
  1. See also
    1. Vulvodynia
    2. Localized Vulvar Dysesthesia
  2. Epidemiology
    1. Perimenopausal or postmenopausal women
  3. Symptoms
    1. Chronic diffuse vulvar burning or Pruritus
    2. Less severe than Localized Vulvar Dysesthesia
      1. Less Dyspareunia
      2. Less point tenderness
    3. Urethral or Rectal discomfort
    4. Chronic Low Back Pain may be related
  4. Signs
    1. Generalized dysesthesia
    2. Concurrent dermatitis suggests other diagnosis
      1. See Vulvodynia for differential diagnosis
  5. Associated conditions
    1. Urethral Syndrome
    2. Pudendal neuralgia (Pudendal canal syndrome)
  6. Management
    1. See Vulvodynia
  7. References
    1. Black (1995) OBGyn Dermatology, Mosby-Wolfe
    2. Apgar (1996) Am Fam Physician 53(4):1171-80 [PubMed]
    3. Barhan (1997) Postgrad Med 102(3):121-32 [PubMed]
    4. Metts (1999) Am Fam Physician 59(6):1547-56 [PubMed]

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