Vulvodynia

Little information exists with respect to validated treatments for vulvodynia. McKay (13) recommends low-dose amitriptyline for symptom control in vulvodynia. This treatment is effective for neuropathic pain syndromes (101), which have a similar pain presentation to vulvodynia. Glazer (102) reported that pelvic floor muscle rehabilitation reduced pain and improved sexual functioning in vulvodynia sufferers. However, no randomized controlled trials have been conducted with respect to any treatment for vulvodynia. Despite the lack of knowledge concerning valid treatments for this condition, there is much agreement that it should be multidisciplinary (5,80,81).

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