Department of Gynecological, Obstetrical and Urological Sciences, "Sapienza" University of Rome, Rome, Italy.
Lower Genital Tract Disease Unit, Obstetrics and Gynecology Department, V. Buzzi Hospital, University of Milan, Milan, Italy.
Int J Gynaecol Obstet. 2023 Nov;163(2):510-520. doi: 10.1002/ijgo.14815. Epub 2023 May 8.
Vulvodynia is a debilitating condition characterized by chronic vulvar pain, with a detrimental impact on the patient's overall quality of life. Its etiology is multifactorial, but still in the process of being clearly outlined. Vulvodynia is not a single entity. It is a heterogeneous condition characterized by multiple triggers, making it challenging to define a reference standard for its treatment. In this manuscript we selected all articles including the following key criteria: "vulvodynia". The primary outcomes observed included the resolution of chronic pelvic pain, dyspareunia and sexual satisfaction, psychological well-being, and overall quality of life. Most pharmacologic treatments require further evidence to be recommended. On the other hand, non-pharmacologic approaches such as psychotherapy, physical therapy, and surgery have received stronger support. This review summarizes pros and cons of adopting available treatments. Multimodal approaches should be introduced to improve patient outcomes. Further investigations are warranted to improve patients' quality of life.
外阴痛是一种使人虚弱的疾病，其特征是慢性外阴疼痛，对患者的整体生活质量有不利影响。其病因是多因素的，但仍在被清晰阐明的过程中。外阴痛不是单一实体。它是一种具有多种诱因的异质疾病，这使得为其治疗制定参考标准具有挑战性。在本手稿中，我们选择了所有包含以下关键标准的文章：“外阴痛”。主要观察结果包括慢性盆腔疼痛、性交痛和性满意度、心理幸福感和整体生活质量的缓解。大多数药物治疗需要更多证据才能被推荐。另一方面，非药物治疗方法，如心理治疗、物理治疗和手术，得到了更强有力的支持。这篇综述总结了采用现有治疗方法的利弊。应采用多模式方法来改善患者的预后。需要进一步的研究来提高患者的生活质量。
