Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
  1. Home
  2. Search

Refine search

Refine search

Access:
Content type:
Publication date:
Apply   From and To filters
Subject: Show more
Journals Show more
Publishers: Show more
Societies Show more
Series: Show more
Collections: Show more

Actions for selected content:

Select all | Deselect all
  • View selected items
  • Export citations
  • Download PDF (zip)
  • Save to Kindle
  • Save to Dropbox
  • Save to Google Drive

Save Search

You can save your searches here and later view and run them again in "My saved searches".

Please provide a title, maximum of 40 characters.
Cancel
×

1 results

  • Case 13 - A 33-Year-Old Woman with Localized Vulvodynia without Vaginismus

  • Edited by Todd R. Jenkins, University of Alabama, Birmingham, Lisa Keder, Abimola Famuyide, Kimberly S. Gecsi, David Chelmow
  • Book:
    Surgical Gynecology
    Published online:
    19 November 2021
    Print publication:
    02 December 2021, pp 34-36

  • Summary

    A 33-year-old nulligravid woman presents with a complaint of insertional dyspareunia. She has been partnered with the same man for three years and had no issues with coitus until about one year ago. Since that time, she has experienced increasingly severe pain with any attempt at vaginal insertion. She describes the pain as sharp and tearing, occurring when her partner enters her. Because of the pain, she has also experienced diminished arousal and a lack of sexual desire. She denies any vulvar pain in other situations but has a similar sensation with placement of a tampon or sex toy. A trial of topical estrogen worsened her symptoms. Application of lidocaine jelly to the area resulted in improvement of symptoms temporarily, but intercourse without it was persistently painful. Her gynecologic history is notable only for a history of recurrent candida vaginitis, though she has no symptoms currently. She uses a combined oral contraceptive for birth control. She has no significant medical history and has never had surgery. She is a non-smoker and uses alcohol occasionally.