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Review
Nursing
Judith M. Schlaeger et al.
Summary: Vulvodynia affects 7% of American women, but it is often misdiagnosed as vaginitis due to lack of awareness among clinicians. The cause of vulvodynia is unknown, making it difficult to develop effective treatments. This article aims to review the presentation, evaluation, and treatment options for vulvodynia, but there is a lack of rigorous studies to determine the efficacy of most treatment methods. Clinicians are advised to choose treatments with the highest level of evidence and the least invasiveness.
JOURNAL OF MIDWIFERY & WOMENS HEALTH
(2023)
Article
Urology & Nephrology
Lauren Templeman et al.
Summary: This study explores the healthcare experiences of women with vulvodynia in the UK. It reveals that women often face difficulties and dismissal in seeking help for vulvodynia, and their pain is often ignored due to gender bias. Pain management is prioritized over well-being and mental health.
JOURNAL OF SEXUAL MEDICINE
(2023)
Article
Muhammad Lutfi et al.
International Journal of Environmental Research and Public Health
(2023)
Review
Urology & Nephrology
Pedro Abreu-Mendes et al.
Summary: Despite the high prevalence of myofascial pain in chronic pelvic pain syndromes, awareness and management of this component are lacking among health care providers. This review highlights the current state of research and expert opinions on the management of myofascial pain in chronic pelvic pain syndromes, emphasizing the importance of a multidisciplinary approach.
EUROPEAN UROLOGY FOCUS
(2023)
Article
Clinical Neurology
Magnus Edvinsson et al.
Summary: This study explored the relationship between psychological and sexual factors and pelvic pain in younger men. The findings suggest that psychological factors play a significant role in male pelvic pain, with higher pain intensity associated with higher levels of catastrophizing, anxiety, and depressive symptoms.
SCANDINAVIAN JOURNAL OF PAIN
(2023)
Review
Obstetrics & Gynecology
Giusi Santangelo et al.
Summary: 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 and still under investigation. It is a heterogeneous condition with multiple triggers, making it challenging to establish a standard for treatment.
INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS
(2023)
Review
Obstetrics & Gynecology
Maria Isabel Hernandez Cardona et al.
Summary: Endometriosis is a common condition that causes chronic pelvic pain and infertility. The current staging systems used to diagnose and classify the disease have limitations in predicting pain severity and prognosis. This article discusses the strengths and weaknesses of the current staging systems and proposes modifications for better classification systems in the future.
INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS
(2023)
Article
Urology & Nephrology
Elizabeth A. Hintz
Summary: This study investigates the importance of interactions among female patients with vulvodynia, their partners, and clinicians in promoting positive health outcomes. Previous research has explored the relationship between the content of partners' responses to pain expressions and these outcomes, but the patients' conversations and their appraisals of difficulty are unknown. By explicating the frequency and difficulty of various salient conversational topics, this study provides guidance for clinicians counseling patients with vulvodynia.
JOURNAL OF SEXUAL MEDICINE
(2023)
Article
Urology & Nephrology
Elin Ekholm et al.
Summary: This study aimed to explore the sexual communication patterns in couples with vulvodynia and found that validation and invalidation are important components of couples' sexual communication. It also revealed a negative association between validating communication and pain intensity in women. The results suggest the need for treatment interventions targeting sexual communication quality.
JOURNAL OF SEXUAL MEDICINE
(2023)
Review
Urology & Nephrology
Jenny Niedenfuehr et al.
Summary: This scoping review synthesizes the literature on vulvodynia and identifies the psychosocial and structural barriers faced by patients. It highlights the need for further research and education on vulvar pain conditions to improve patient outcomes.
JOURNAL OF SEXUAL MEDICINE
(2023)
Article
Urology & Nephrology
Shirin Zarur et al.
Summary: The aim of this study was to explore the process leading to CPPS and the healthcare received by men with CPPS. Semi-structured video interviews were conducted with 14 men, revealing that the informants experienced difficulties before the onset of symptoms, with specific triggers such as cold, trauma, infection, and stress. The quality of healthcare varied, with some feeling overlooked or wasting the doctor's time, while others felt validated and thoroughly examined. This study provides valuable insights for healthcare professionals to understand and meet the needs of patients with CPPS.
Article
Obstetrics & Gynecology
Stacey Bennis et al.
Summary: This study investigated the health literacy level in women with chronic pelvic pain (CPP) and found that it was associated with pain intensity, pain duration, mood symptoms, and pain catastrophizing. The study demonstrated the importance of health literacy in pain management for women with CPP.
ARCHIVES OF GYNECOLOGY AND OBSTETRICS
(2023)
Review
Obstetrics & Gynecology
Cleima Coltri Bittelbrunn et al.
Summary: Chronic pelvic pain is a prevalent and costly condition in women. This study evaluated the role of mindfulness and pelvic floor physical therapy in treating chronic pelvic pain. The findings suggest that a multidisciplinary approach may be effective for managing this condition.
ARCHIVES OF GYNECOLOGY AND OBSTETRICS
(2023)
Review
Obstetrics & Gynecology
Amelia K. Mardon et al.
Summary: Women with persistent pelvic pain (PPP) receive varied treatments despite the existence of clinical practice guidelines. This study aimed to identify and summarize treatment recommendations for PPP management from multiple guidelines and evaluate their quality. The findings showed that the quality of the guidelines was generally poor, with a significant number of recommendations for pharmaceutical and surgical interventions. Psychological, physiotherapy, and conservative interventions had more variable recommendations. The biopsychosocial aspects of PPP were acknowledged by several guidelines, but biomedical interventions were predominantly recommended.
BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY
(2022)
Review
Urology & Nephrology
Brian A. Parsons et al.
Summary: Management of chronic pelvic pain remains a huge challenge, with unimodal therapeutic options often unsuccessful. Individualised multimodal management appears to be the most promising approach, leading to improvement for a large proportion of patients. The European Association of Urology Chronic Pelvic Pain Guideline Group provides an overview of important concepts for successfully diagnosing and treating this challenging disease.
Article
Urology & Nephrology
Benjamin Evans-Duran et al.
Summary: This study examined the mechanistic pathways between pain and sexual dysfunction in men with chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS), taking into account cognitive and emotional factors. The results showed that pain symptom severity, pain catastrophizing, and depressive symptoms were associated with sexual dysfunction in these men.
CUAJ-CANADIAN UROLOGICAL ASSOCIATION JOURNAL
(2022)
Article
Urology & Nephrology
Andrea Hess Engstrom et al.
Summary: This study investigates the effects of an internet-based treatment using ACT principles on pain during intercourse for women with provoked vulvodynia. The results show that the treatment is effective in reducing pain during intercourse and increasing pain acceptance. However, caution is needed due to the small sample size.
JOURNAL OF SEXUAL MEDICINE
(2022)
Article
Oncology
Ahmed M. Sakr et al.
Summary: The study showed that ESWT is an effective treatment option for CPPS patients, with significant improvement in symptoms observed in the verum treatment group. Patients with a history of psychological disorders or higher initial NIH-CPSI score had a lower response rate to ESWT.
PROSTATE CANCER AND PROSTATIC DISEASES
(2022)
Review
Medicine, General & Internal
Barbara Wagner et al.
Summary: Biofeedback is recognized as an effective treatment for certain pelvic pain conditions, with evidence showing pain reduction and improved quality of life. While promising findings exist for other types of chronic pelvic pain conditions, further investigation in robust randomized controlled trials is needed to confirm its efficacy.
WIENER KLINISCHE WOCHENSCHRIFT
(2022)
Review
Medicine, General & Internal
Charles H. Knowles et al.
Summary: This review covers three main diagnostic categories for chronic anal pain and summarizes the signs, symptoms, diagnostic tests, and main treatments for each condition.
CLEVELAND CLINIC JOURNAL OF MEDICINE
(2022)
Review
Biochemistry & Molecular Biology
Angel Ortega et al.
Summary: The placebo effect is the improvement of symptoms in a patient after receiving an innocuous substance in a context that induces expectations. Recent research has shown that the placebo response can affect not only pain relief but also the immune and endocrine systems. Classic conditioning and expectation setting are psychological mechanisms involved in the placebo effect. The placebo effect has shown promising results in the clinical management of neurological, psychiatric, and immunologic disorders.
INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES
(2022)
Review
Obstetrics & Gynecology
Fulvio Dal Farra et al.
Summary: This study assessed the effectiveness of myofascial manual therapies (MMT) for chronic pelvic pain syndrome (CPPS). The results showed that MMT was not significantly superior to standard care in terms of pain reduction, symptom impact, and quality of life.
INTERNATIONAL UROGYNECOLOGY JOURNAL
(2022)
Review
Urology & Nephrology
Nina Bohm-Starke et al.
Summary: This article provides an overview of randomized controlled trials and non-randomized studies on interventions for provoked vulvodynia (PVD). However, most of the studies evaluated have a very low certainty of evidence, making it impossible to draw any conclusions. The only intervention with some evidence is multimodal physiotherapy. The study highlights the need for rigorous trials and defined core outcome sets for PVD.
JOURNAL OF SEXUAL MEDICINE
(2022)
Article
Urology & Nephrology
Andrea Carralero-Martinez et al.
Summary: This study evaluated the efficacy of CRMRF treatment with physiotherapeutic techniques for patients with CPPS and found that it significantly reduced pain and improved quality of life compared to a sham treatment.
NEUROUROLOGY AND URODYNAMICS
(2022)
Article
Gastroenterology & Hepatology
Danielle A. van Reijn-Baggen et al.
Summary: The study provides strong evidence that pelvic floor physical therapy is effective in patients with chronic anal fissure and pelvic floor dysfunction. It supports the recommendation of pelvic floor physical therapy as an adjuvant treatment alongside regular conservative treatment.
TECHNIQUES IN COLOPROCTOLOGY
(2022)
Review
Clinical Neurology
Yifan Zhao et al.
Summary: This review investigated the neuroimaging findings in CP/CPPS patients and found significant associations between the insula, anterior cingulate gyrus, postcentral gyrus, precuneus, and patients' pain feelings.
PAIN RESEARCH & MANAGEMENT
(2022)
Article
Urology & Nephrology
J Krapf et al.
Journal of Sexual Medicine
(2022)
Article
Health Care Sciences & Services
Benjamin Merlot et al.
Summary: The study aimed to test the immediate and 4-hour persisting analgesic effects of a single use digital therapeutics (DTx) treatment on pelvic pain in women with endometriosis. The results showed that the virtual reality immersive treatment, Endocare, significantly reduced pain perception compared to a digital control and the effect lasted for up to 4 hours.
JOURNAL OF MEDICAL INTERNET RESEARCH
(2022)
Review
Urology & Nephrology
Danielle A. Van Reijn-Baggen et al.
Summary: This systematic review evaluated the efficacy of pelvic floor physical therapy (PFPT) for the treatment of hypertonicity of the pelvic floor (PFH). The results indicate that PFPT can improve symptoms of chronic prostatitis, chronic pelvic pain syndrome, vulvodynia, and dyspareunia, with less significant effects seen in patients with interstitial cystitis and painful bladder syndrome. However, due to the lack of high-quality studies, further randomized controlled trials are needed to confirm its effectiveness.
SEXUAL MEDICINE REVIEWS
(2022)
Article
Obstetrics & Gynecology
Christian M. Becker et al.
Summary: This guideline provides clinicians with evidence-based recommendations for the diagnosis and management of endometriosis. It covers various aspects including diagnosis, treatment of pain symptoms, management of infertility, and discusses different treatment options. Despite some limitations, this guideline is important for improving the care of patients with endometriosis.
HUMAN REPRODUCTION OPEN
(2022)
Review
Anesthesiology
Claudia Chisari et al.
Summary: This review highlights the role of psychosocial factors associated with pain and sexual functioning in Vulvodynia. Factors such as depression, anxiety, pain-anxiety, and self-efficacy are identified as key targets for treatment.
EUROPEAN JOURNAL OF PAIN
(2021)
Article
Urology & Nephrology
Antonella Centemero et al.
Summary: The study evaluated the effectiveness of a Multi-disciplinary team and approach in treating Chronic Pelvic Pain. The data showed that patients managed by the MDT had significant improvements in Pelvic Pain Urgency Frequency and urinary frequency compared to those managed before the institution of the MDT. The study concluded that the multimodal approach is an effective and non-invasive option for successfully managing CPP.
ARCHIVIO ITALIANO DI UROLOGIA E ANDROLOGIA
(2021)
Review
Urology & Nephrology
Ioannis Mykoniatis et al.
Summary: This study confirmed the efficacy and safety of low-intensity shockwave therapy for patients with chronic prostatitis/chronic pelvic pain syndrome through a systematic review and meta-analysis, showing significant improvements in pain and quality of life for patients.
Article
Acoustics
S. Del Forno et al.
Summary: In women with deep infiltrating endometriosis (DIE), pelvic floor physiotherapy (PFP) can increase the levator ani hiatus area during Valsalva maneuver, leading to improved superficial dyspareunia and chronic pelvic pain.
ULTRASOUND IN OBSTETRICS & GYNECOLOGY
(2021)
Review
Anesthesiology
K. Vincent et al.
Summary: Chronic pelvic pain is a significant public health issue for women, impacting their quality of life. Management involves a variety of therapies and a multidisciplinary team approach is necessary.
Article
Medicine, General & Internal
Christian A. Bruenahl et al.
Summary: The study explored the feasibility of delivering a combination of physiotherapy and psychotherapy for patients with chronic pelvic pain syndrome. Results showed low eligibility and willingness-to-participate rates, but high satisfaction among participants in the intervention group, with significant intervention effects on depression severity and pain.
Review
Obstetrics & Gynecology
Sara Hansen et al.
Summary: This review did not find conclusive evidence to support the beneficial effect of exercise on pain in women with endometriosis. More randomized controlled trials with well-defined study groups and training programs are needed to investigate whether exercise can improve the pain experience in patients with endometriosis.
ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA
(2021)
Review
Nursing
Vanessa Ross et al.
Summary: Myofascial pelvic pain is a common musculoskeletal disorder that can exist independently or in conjunction with other conditions, often serving as a causative factor for sexual pain. Recognition and treatment of this commonly overlooked diagnosis has the potential to improve care and outcomes for patients.
JOURNAL OF MIDWIFERY & WOMENS HEALTH
(2021)
Article
Urology & Nephrology
Helena Frawley et al.
Summary: An extensive update of terminology for female and male pelvic floor muscle assessment has been conducted, including 185 separate definitions/descriptors to aid clinical practice and research. The report was developed through a thorough process of 12 rounds of review and includes input from experts in the field and external referees to ensure accuracy and comprehensiveness. The main aim of this report is to provide a standardized and clinically based terminology for assessing PFM function and dysfunction, making it user-friendly and interpretable by clinicians and researchers of different disciplines.
NEUROUROLOGY AND URODYNAMICS
(2021)
Review
Medicine, General & Internal
Georgine Lamvu et al.
Summary: Chronic pelvic pain affects a significant portion of women globally and is not always gynecologic in origin. Treatment usually involves multidisciplinary approaches and consideration of neurological, musculoskeletal, and psychological factors.
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION
(2021)
Review
Urology & Nephrology
Anna Padoa et al.
Summary: Overactive pelvic floor involves a complex interplay of various medical and psychological factors, significantly impacting sexual function and leading to difficulties during intercourse.
SEXUAL MEDICINE REVIEWS
(2021)
Review
Anesthesiology
Winfried Haeuser et al.
Article
Medicine, General & Internal
Sophie Bergeron et al.
NATURE REVIEWS DISEASE PRIMERS
(2020)
Article
Anesthesiology
Ivan Urits et al.
BEST PRACTICE & RESEARCH-CLINICAL ANAESTHESIOLOGY
(2020)
Review
Anesthesiology
Rolf-Detlef Treede et al.
Review
Anesthesiology
Qasim Aziz et al.
Review
Psychology, Clinical
Natalie O. Rosen et al.
JOURNAL OF SEX RESEARCH
(2019)
