Pain in Women

pp 155-172



  • Jennifer GunterAffiliated withKaiser Permanente, Center for Pelvic Pain

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Chronic vulvar pain affects 3–10 % of women with a similar prevalence among white and African-American women [1–4]. Previously termed vulvodynia and vestibulitis, chronic vulvar pain syndromes have been reclassified by the International Society for the Study of Vulvovaginal Disease (ISSVD) as spontaneous or provoked pain with further subtyping based on location, i.e., generalized versus localized (Table 6.1) [5, 6]. Dyspareunia, which affects up to 22 % of women, is an almost universal finding among women with vulvodynia and is classified as primary (present from first attempt at coitus or tampons) to secondary (developing sometime after pain-free intercourse has been established) [7].