Yitzchak M Binik

McGill University and McGill University Health Center (Royal Victoria Hospital), Montreal, Quebec, Canada

Assessment and Diagnosis

Introduction

Classification

What Does the Term "Dyspareunia" Mean?

Why Is it Important to Study and Treat Dyspareunia?

Vulvodynia Case Study Diagnosis

Vulvar Vestibulitis Syndrome Case Study Diagnosis

255 255

Postmenopausal Dyspareunia 256

Case Study 256

Diagnosis 257

Etiology 258

Vulvar Vestibulitis Syndrome 258 Characteristics of the Vulvar Vestibule in Affected and

Non-affected Women 258

Etiological Theories: Physical Explanations for the Pain 259

Etiological Theories: Psychosocial Explanations for the Pain 260

Vulvodynia 261

Postmenopausal Dyspareunia 262

Comment 262

Current Treatment Strategies 262

Vulvar Vestibulitis Syndrome 263

Medical Interventions 263

Cognitive-Behavioral Interventions 264

Surgical Intervention 265

Alternative Treatments 265

Vulvodynia 266

Postmenopausal Dyspareunia 266

Future Directions 266

References 267

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