Obstet Gynecol. 2016 Sep;128(3):676-677. doi: 10.1097/AOG.0000000000001639.
Persistent vulvar pain is a complex disorder that frequently is frustrating to the patient and the clinician. It can be difficult to treat and rapid resolution is unusual, even with appropriate therapy. Vulvar pain can be caused by a specific disorder or it can be idiopathic. Idiopathic vulvar pain is classified as vulvodynia. Although optimal treatment remains unclear, consider an individualized, multidisciplinary approach to address all physical and emotional aspects possibly attributable to vulvodynia. Specialists who may need to be involved include sexual counselors, clinical psychologists, physical therapists, and pain specialists. Patients may perceive this approach to mean the practitioner does not believe their pain is "real"; thus, it is important to begin any treatment approach with a detailed discussion, including an explanation of the diagnosis and determination of realistic treatment goals. Future research should aim at evaluating a multimodal approach in the treatment of vulvodynia, along with more research on the etiologies of vulvodynia.
持续性外阴疼痛是一种复杂的病症，常常令患者和临床医生感到沮丧。它可能难以治疗，即使采用适当的疗法，也很少能迅速缓解。外阴疼痛可能由特定病症引起，也可能是特发性的。特发性外阴疼痛被归类为外阴痛。尽管最佳治疗方法尚不清楚，但可考虑采用个体化的多学科方法来解决可能归因于外阴痛的所有身体和情感方面的问题。可能需要参与的专家包括性咨询师、临床心理学家、物理治疗师和疼痛专家。患者可能会认为这种方法意味着医生不相信他们的疼痛是“真实的”；因此，在开始任何治疗方法时进行详细讨论很重要，包括对诊断的解释和现实治疗目标的确定。未来的研究应旨在评估治疗外阴痛的多模式方法，以及对外阴痛病因的更多研究。
