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A Journal on Obstetrics and Gynecology

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Minerva Ginecologica 2012 October;64(5):437-45

language: English

Clinical and therapeutic aspects of vulvodynia: the importance of physical therapy

Polpeta N. C. 1, Giraldo P. C. 1, Teatin Juliato C. R. 1, Gomes Do Amaral R. L. 1, Moreno Linhares I. 2, Romero Leal Passos M. 3

1 Department of Obstetrics and Gynecology, Universidade Estadual de Campinas – UNICAMP, Medical School – Campinas, Brazil;
2 Gynecologist and Researcher of the Discipline of Gynecology of the University of São Paulo Medical School, São Paul, Brazil;
3 Department of Obstetrics and Gynecology of University Federal Fluminense, Rio de Janeiro, Brazil


Vulvodynia affects a large number of women worldwide. It is estimated that the prevalence rate of vulvodynia is 16% in women aged 18 to 64 years, resulting in constant demand for specialized medical care, although little therapeutic success is achieved. Furthermore, the cause of this disorder remains unknown and involves different symptoms that are implicated in important chronic vulvar pain with disastrous consequences for the afflicted women. In view of these data, the authors have proposed a bibliographic review of the pathophysiology and treatment of vulvodynia. The aim of this review was to assist in clinical diagnosis and elucidate the multidisciplinary treatment that appears to be associated with a higher success rate in these women. Physical therapy using diverse techniques has an important role in multidisciplinary care, obtaining satisfactory results in the treatment of pelvic floor muscle dysfunction and thus improving the symptoms and quality of life in women with vulvodynia.

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