The following is an excerpt....
BASICS
Description
- Vulvar discomfort, often described as "burning," for at least 3 months. Occurs in the absence of relevant visible findings or a clinically identifiable neurologic disorder.
- Classification based on whether pain is generalized or localized, and whether it is provoked, spontaneous, or mixed.
- Generalized: Involvement of majority of the vulva; persistent pain, often spontaneous but sometimes provoked (by physical contact) or mixed
- Localized: Severe pain of certain vulvar areas, such as the vestibule (aka vestibulodynia), upon touch or attempted vaginal entry. Thought to be the leading cause of painful intercourse in premenopausal women.
- Primary: Introital dyspareunia from 1st episode of intercourse or 1st insertion of tampon or vaginal speculum.
- Secondary: Introital dyspereunia developing after a period of painless intercourse ...
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