GENERALIZED VS. LOCALIZED VULVODYNIA: THE ROLE OF ORAL CONTRACEPTIVES
ESC Congress Library. Lima-Silva J. 05/28/14; 50640; A-225
Dr. Joana Lima-Silva
Dr. Joana Lima-Silva
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Abstract
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Introduction: vulvodynia is a clinical entity defined as vulvar pain, burning or chronic discomfort, without an identifiable cause. The role of oral contraceptives (OC) in vulvodynia still remains controversial. Some studies suggest an association between OC and the risk of developing vulvodynia, even though their role in the different types of vulvodynia (generalized and localized) has not been studied.
Obhectives: to evaluate the possible role of OC in generalized and localized vulvodynia.
Materials and Methods: retrospective cross-sectional study, including 49 women with the diagnosis of vulvodynia
Results: out of 49 women, 26 (53.1%) had generalized vulvodynia and 23 (46.9%) had localized vulvodynia. Regarding triggers, 57.2% of cases (25) were provoked, 2% (1) spontaneous and 40.8% (20) mixed. Seventy-six percent of women reported previous or current use of OC, with an average duration of use of 97.3 months. A higher frequency of OC users was found in localized vulvodynia group (86.4% vs. 65.2%, p = 0.099), corresponding to a RR of 2.1 (IC 95%: 0.75-5.63) in this group. Regarding OC usage length, we found a statistically significant higher duration of use in localized vulvodynia, when compared to generalized vulvodynia group (97.5 months vs. 25.6 months, p = 0.008). No difference was found in the frequency or duration of OC use between spontaneous, provoked or mixed vulvodynia groups.
Discussion and Conclusions: Women with localized vulvodynia use more often and for longer periods oral contraceptives, compared to women with generalized vulvodynia, thus suggesting an association between this contraceptive method and localized vulvodynia.
Introduction: vulvodynia is a clinical entity defined as vulvar pain, burning or chronic discomfort, without an identifiable cause. The role of oral contraceptives (OC) in vulvodynia still remains controversial. Some studies suggest an association between OC and the risk of developing vulvodynia, even though their role in the different types of vulvodynia (generalized and localized) has not been studied.
Obhectives: to evaluate the possible role of OC in generalized and localized vulvodynia.
Materials and Methods: retrospective cross-sectional study, including 49 women with the diagnosis of vulvodynia
Results: out of 49 women, 26 (53.1%) had generalized vulvodynia and 23 (46.9%) had localized vulvodynia. Regarding triggers, 57.2% of cases (25) were provoked, 2% (1) spontaneous and 40.8% (20) mixed. Seventy-six percent of women reported previous or current use of OC, with an average duration of use of 97.3 months. A higher frequency of OC users was found in localized vulvodynia group (86.4% vs. 65.2%, p = 0.099), corresponding to a RR of 2.1 (IC 95%: 0.75-5.63) in this group. Regarding OC usage length, we found a statistically significant higher duration of use in localized vulvodynia, when compared to generalized vulvodynia group (97.5 months vs. 25.6 months, p = 0.008). No difference was found in the frequency or duration of OC use between spontaneous, provoked or mixed vulvodynia groups.
Discussion and Conclusions: Women with localized vulvodynia use more often and for longer periods oral contraceptives, compared to women with generalized vulvodynia, thus suggesting an association between this contraceptive method and localized vulvodynia.
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