In this subgroup, pelvic floor (PF) muscles become tight and tender. Typically, the pain is much worse at 4-8 o'clock position of the vestibule with minimal or no pain in the upper vestibule.

The pain began while taking hormonal contraceptive or other medications that affect hormones, after removal of ovaries, breastfeeding or menopause. The entire vestibule is tender and vestibular mucosa is often dry and thin.

In this condition, we speculate that women have an increased number of nociceptors in the vestibular mucosa. Pain is primary and there is tenderness of the entire vestibule.

Localized Provoked Vulvodynia

Pelvic floor physical therapy

estriol cream (ovestin)

Low-level-laser therapy

Merkaz Briot Haisha, Ramat Eshkol

The Reciprocal Relations Between Psychosocial Characteristics and the Progression of Vestibulodynia

The Reciprocal Relations Between Psychosocial Characteristics and the Progression of Vestibulodynia, and the Mental Health of the Patient

The exam is performed by touching the vestibule with a cotton-tip applicator in 6 defined points (2,5,6,7, 10 and 12),while the patient is being asked to rate the intensity of pain verbally from 0 to 10 at each point.

Adherence to therapy will be assessed by calculating attendance to planed appointments (physical therapy, medical appointments and LLL treatments)

Pelvic floor muscle tonicity will be evaluated using manual palpation of the muscles by the physician.

Ahinoam Lev-Sagie

Meir Medical Center

Bacterial Vaginosis

Medical device (registration number: 10-355-717, first licensed 12.08.2010)

Vaginal lactic acid and glycogen gel

Metronidazole

Dep. of Obstetrics and Gynecology, Bern University Hospital, Bern

Treatment Comparison of Antibiotics Versus Vaginal Lactic Acid in Non-pregnant Women With Acute Symptomatic Bacterial Vaginosis

Controlled, Multicenter, Randomized Parallel Group Pilot Study With 2 Treatment Arms in Non-pregnant Women With Acute Symptomatic Bacterial Vaginosis (BV)

This is a binary parameter indicating remission from BV.

Unpleasant vaginal discharge, unpleasant smell, vaginal pain, itching, burning, dryness

vaginitis/بوتاسيوم

The Reciprocal Relations Between Psychosocial Characteristics and the Progression of Vestibulodynia

Treatment Comparison of Antibiotics Versus Vaginal Lactic Acid in Non-pregnant Women With Acute Symptomatic Bacterial Vaginosis

قاعدة بيانات الأعشاب الطبية الأكثر اكتمالا التي يدعمها العلم