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Vulvodynia, a step-wise therapeutic prospective cohort study
Journal of Obstetrics and Gynaecology, 09/17/09
Ventolini G et al. – The authors assessed a protocol for the evaluation and management of vulvodynia. The protocol was based on the most recent evidence available. The authors began a simple evaluation and proceeded to an aggressive one. From the cohort of 74 patients, 69 patients (93.2%) were adherent to the protocol. A total of 25 patients (36.3%) improved after antibiotic therapy: 14 patients (20.4%) had a positive fungal culture and 11 patients (15.9%) had a positive bacterial culture; none with a positive viral culture. Eight patients (11.6%) improved with dietary modification. Ten patients (14.5%) benefitted from tricyclic medications; 13 patients (18.8%) improved after gabapentin therapy; 13 patients (18.8%) did not show improvement of their condition. Some 56 patients (81.2%) manifested an improvement of their symptoms, which allowed them to achieve painless sexual intercourse.
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Today in General Gynecology...keeping you current
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Does Vitamin D and Calcium Affect the Incidence of Premenstrual Syndrome
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Today in Pain Management...keeping you current
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