Wijma B, Jansson M, Nilsson S, Hallböök O, Wijma K
Division of Obstetrics and Gynecology, Faculty of Health Sciences, Linköping University, Sweden.
J Reprod Med. 2000 Mar;45(3):219-23.
Recent reports have argued for a revision of the criteria used for the establishment of a diagnosis of vulvar vestibulitis syndrome (VVS). On theoretical grounds it might be hypothesized that women with VVS also suffer from vaginismus.
A young woman presented with a history, symptoms and objective findings typical of vaginismus, yet she suffered from continuous, burning pain and itching in the vestibule. Earlier in the course of the problem she had received a diagnosis VVS. The patient was treated with behavioral therapy developed for vaginismus. Notations made during the course of therapy supported the assumption that the pain and itching were conditioned responses to penetration in the same way that a vaginal muscular reflex is.
Differential diagnostic difficulties exist in the field of VVS and vaginismus. Psychophysiologic theories are needed as the basis for research to clarify the connections between different diagnostic entities associated with coital burning pain and itching in the vestibule.
近期报告主张修订用于诊断外阴前庭炎综合征（VVS）的标准。基于理论推测，患有VVS的女性可能也患有阴道痉挛。
一名年轻女性表现出典型的阴道痉挛病史、症状及客观体征，但她的前庭持续存在灼痛和瘙痒。在该问题病程早期，她被诊断为VVS。患者接受了针对阴道痉挛的行为疗法治疗。治疗过程中的记录支持这样一种假设，即疼痛和瘙痒与阴道肌肉反射一样，是对插入的条件反应。
在VVS和阴道痉挛领域存在鉴别诊断困难。需要以心理生理学理论为研究基础，以阐明与性交时前庭灼痛和瘙痒相关的不同诊断实体之间的联系。
