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首页> 外文期刊>Journal of Reproductive Medicine: The Official Periodical of the American Academy of Reproductive Medicine, Association of Professors of Gynecology and Obstetrics, International Family Planning Research Association ... [et al.] >A survey on diagnosis and treatment of vulvodynia among vulvodynia researchers and members of the International Society for the Study of Vulvovaginal Disease.
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A survey on diagnosis and treatment of vulvodynia among vulvodynia researchers and members of the International Society for the Study of Vulvovaginal Disease.

机译:外阴痛研究人员和国际外阴阴道疾病研究学会成员之间的外阴痛诊断和治疗调查。

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摘要

OBJECTIVE: To survey members of the International Society for the Study of Vulvovaginal Disease and authors of recent related medical publications for whom e-mail addresses were available to assess current opinion and practices. STUDY DESIGN: In a cross-sectional online survey of potential participants, characteristics of respondents and their preferred diagnostic criteria and treatment modalities for vulvodynia were assessed using univariate and multivariate methods. RESULTS: Of recipients, 61.0% completed the survey. Of these, 86.7% were active in diagnosing or treating women with vulvodynia and 41.3% were currently active in vulvodynia research. Of respondents, > 80% include a history, a genital visual examination and vulvar pressure sensitivity testing in their evaluation of women with vulvar pain. Laboratory assessments were less likely to be rated essential or helpful. Of participants, > 80% rated as very effective or somewhat effective tricyclic antidepressants, pelvic floor physical therapy andpsychologic counseling. Most indicated they have made the diagnosis of vulvodynia in conjunction with other vulvovaginal diagnoses and agreed that vulvodynia does remit for some women. CONCLUSION: Despite many diagnostic and treatment options available, some consensus on diagnostic and treatment preferences for vulvodynia was identified. Further research to develop the evidence base for diagnostic and treatment decisions is needed.
机译:目的:调查国际外阴阴道疾病研究协会的成员以及最近相关医学出版物的作者,他们的电子邮件地址可用于评估当前的观点和做法。研究设计:在对潜在参与者的横断面在线调查中,使用单变量和多变量方法评估了受访者的特征以及他们对于外阴痛的首选诊断标准和治疗方式。结果:在接受者中,有61.0%完成了调查。其中,有86.7%的女性在诊断或治疗外阴痛时活跃,而目前有41.3%的人在外阴痛研究中活跃。在受访者中,> 80%的患者在评估女性外阴痛时包括病史,生殖器视觉检查和外阴压力敏感性测试。实验室评估不太可能被评为必要或有用的。超过80%的参与者认为三环类抗抑郁药非常有效或有些有效,盆底物理治疗和心理咨询。大多数人表示,他们已经与其他外阴阴道诊断一起做出了外阴痛的诊断,并同意外阴痛确实可以缓解某些女性的症状。结论:尽管有许多可用的诊断和治疗选择,但对于外阴痛的诊断和治疗偏好仍存在一些共识。需要进一步研究以开发用于诊断和治疗决策的证据基础。

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