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Erschienen in: Current Sexual Health Reports 1/2020

08.01.2020 | Clinical Therapeutics (B McCarthy, R Segraves and R Balon, Section Editors)

Persistent Genitopelvic Pain: Classification, Comorbidities, Chronicity, and Interpersonal Factors

verfasst von: Caroline F. Pukall, Sophie Bergeron, Natalie O. Rosen, Robyn Jackowich

Erschienen in: Current Sexual Health Reports | Ausgabe 1/2020

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Abstract

Purpose of Review

To review recently published literature on vulvodynia classification, comorbidities, chronicity, and interpersonal factors, and to outline critical gaps between research findings and clinical practice.

Recent Findings

The classification of vulvodynia varies in terms of its specificity and degree of focus on pain and psychosocial correlates, with recent conceptualizations supporting a biopsychosocial framework. The presence of comorbidities in those with vulvodynia is associated with poorer symptom outcomes and psychosocial wellbeing, as well as longer-term symptom presentation. Longitudinal research has indicated that the course of vulvodynia can vary, with some women experiencing complete pain remission, pain remission with relapse, or pain persistence. There has been a significant increase in psychosocial research in vulvodynia, with much attention on the role of interpersonal factors in the experience of pain and in sexual and relationship satisfaction. Partner dynamics and sexual motivation have figured prominently in this area of research.

Summary

The field of vulvodynia research has grown exponentially over the past few years, with an increase in attention to factors and issues outside pathophysiological processes in the vulva. Despite empirically-based recommendations for treatment options, treatment algorithms remain inconsistent and are based on poorly supported treatment options.
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Metadaten
Titel
Persistent Genitopelvic Pain: Classification, Comorbidities, Chronicity, and Interpersonal Factors
verfasst von
Caroline F. Pukall
Sophie Bergeron
Natalie O. Rosen
Robyn Jackowich
Publikationsdatum
08.01.2020
Verlag
Springer US
Erschienen in
Current Sexual Health Reports / Ausgabe 1/2020
Print ISSN: 1548-3584
Elektronische ISSN: 1548-3592
DOI
https://doi.org/10.1007/s11930-020-00239-7

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