Davis G D, Hutchison C V
St. Joseph's Medical Center, Phoenix, Arizona, USA.
Clin Obstet Gynecol. 1999 Jun;42(2):221-33. doi: 10.1097/00003081-199906000-00007.
Vulvodynia represents a group of vulvar disorders that can be clinically perplexing. Unfortunately, there are no simple tests for its diagnosis. Patients often are reluctant to report vulvar pain. Some are embarrassed to reveal their perceived "sexual dysfunction" caused by dyspareunia. Others have been told in the past "It's all in you head," or "It's just a yeast infection." Most patients with vulvodynia are seen by multiple practitioners and are placed on a variety of treatments before a correct diagnosis is made. All too often, these treatments are not only ineffective but also damaging. Careful clinical investigation is required for the correct diagnosis and treatment of vulvodynia (Figure 2).
外阴痛是一组临床诊断可能令人困惑的外阴疾病。不幸的是，目前尚无简单的诊断测试方法。患者往往不愿报告外阴疼痛情况。一些人羞于透露由性交困难导致的他们所认为的“性功能障碍”。另一些人过去曾被告知“这全是你想出来的”或“这只是酵母菌感染”。大多数外阴痛患者会看多个医生，并在做出正确诊断之前接受各种治疗。这些治疗常常不仅无效，而且具有损害性。正确诊断和治疗外阴痛需要仔细的临床检查（图2）。
