Reed Barbara D
University of Michigan Medical School, Ann Arbor, USA.
Am Fam Physician. 2006 Apr 1;73(7):1231-8.
The diagnosis of vulvodynia is made after taking a careful history, ruling out infectious or dermatologic abnormalities, and eliciting pain in response to light pressure on the labia, introitus, or hymenal remnants. Several treatment options have been used, although the evidence for many of these treatments is incomplete. Treatments include oral medications that decrease nerve hypersensitivity (e.g., tricyclic antidepressants, selective serotonin reuptake inhibitors, anticonvulsants), pelvic floor biofeedback, cognitive behavioral therapy, local treatments, and (rarely) surgery. Most women experience substantial improvement when one or more treatments are used.
外阴痛的诊断是在详细询问病史、排除感染性或皮肤病学异常，并在轻压阴唇、阴道口或处女膜残端时引发疼痛后做出的。尽管这些治疗方法中有许多的证据并不完整，但已经使用了几种治疗方案。治疗方法包括降低神经超敏反应的口服药物（如三环类抗抑郁药、选择性5-羟色胺再摄取抑制剂、抗惊厥药）、盆底生物反馈、认知行为疗法、局部治疗以及（很少使用）手术。当采用一种或多种治疗方法时，大多数女性的病情会有显著改善。
