Clinical Management of Vulvodynia Tips and Tricks
Chronic vulvar pain, or ‘vulvodynia’, is a common problem that can have a considerable impact on the wellbeing of patients. Despite being seen routinely in everyday clinical practice, it remains a neglected disorder that may take many years to diagnose.Th
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Alessandra Graziottin • Filippo Murina
Clinical Management of
Vulvodynia Tips and Tricks
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Alessandra Graziottin, MD Director, Center of Gynecology and Medical Sexology H. San Raffaele Resnati, Milan, Italy President and Founder, Graziottin Foundation for the cure and care of pain in women
Filippo Murina, MD First referent, Outpatient Department of Vulvar Disease V. Buzzi Hospital Obstetrics and Gynecological Clinic University of Milan, Milan, Italy Scientific Director of Italian Vulvodynia Association
The contents of this book are based on:
Vulvodinia - A. Graziottin, F. Murina © Springer-Verlag Italia 2011
ISBN 978-88-470-1925-6
ISBN 978-88-470-1926-3 (eBook)
DOI 10.1007/978-88-470-1926-3 Library of Congress Control Number: 2010942158 © Springer-Verlag Italia 2011 This work is subject to copyright. All rights are reserved, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilm or in any other way, and storage in data banks. Duplication of this publication or parts thereof is permitted only under the provisions of the Italian Copyright Law in its current version, and permission for use must always be obtained from Springer. Violations are liable to prosecution under the Italian Copyright Law. The use of general descriptive names, registered names, trademarks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. Product liability: The publishers cannot guarantee the accuracy of any information about dosage and application contained in this book. In every individual case the user must check such information by consulting the relevant literature. 987654321 Cover design: Ikona S.r.l., Milan, Italy Typesetting: Graphostudio, Milan, Italy
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Preface Why a Book About Vulvodynia? And why “Tips and Tricks”?
Why this book? Women have an intimate problem: chronic vulvar pain, or vulvodynia, as it is termed in medical phraseology. Vulvodynia may affect 12-15% of women: it is therefore a common disorder that every family doctor and every gynecologist can encounter every day in his or her routine work. The first good reason to write – and read – this book is that although vulvodynia is frequent, it typically remains unaddressed for years. Indeed, this genital pain is neglected by the majority of physicians because it is perceived as difficult to deal with or as “psychogenic” and therefore more of an issue for psychologists than for medical doctors. In fact, in contrast to this outdated view, vulvodynia is a disorder with solid biological causes that are absolutely within the domain of a medical diagnosis. Like all types of pain, vulvodynia can be multifactorial. Diagnosis requires careful listening to the wo
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