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Praxis Nov 2015
Topics: Adult; Biopsy; Carcinoma in Situ; Diagnosis, Differential; Female; Human papillomavirus 16; Humans; Papillomavirus Infections; Pruritus Vulvae; Vaginal Diseases; Vulva; Vulvar Neoplasms
PubMed: 26558937
DOI: 10.1024/1661-8157/a002183 -
Journal of Obstetrics and Gynaecology :... 2016
Topics: Biopsy; Gynecology; Humans; Pruritus Vulvae
PubMed: 26467628
DOI: 10.3109/01443615.2015.1049991 -
Journal of Lower Genital Tract Disease Jul 2015Chronic vulvar pruritus and vulvodynia are common vulvar diseases. The aim of this study was to compare gynecologic and sexual and physical abuse histories from patients...
OBJECTIVE
Chronic vulvar pruritus and vulvodynia are common vulvar diseases. The aim of this study was to compare gynecologic and sexual and physical abuse histories from patients with these diagnoses and from healthy controls.
MATERIALS AND METHODS
Questionnaires were self-completed by patients diagnosed with vulvar itch-scratch (n = 93), patients diagnosed with vulvodynia (n = 232), and patients presenting for annual gynecologic examinations (n = 104) at the University of Michigan Hospitals, Ann Arbor, MI.
RESULTS
Patients who came for annual examinations were less likely to report past gynecologic infections (p < .05) and indicated higher interest in and more frequent sexual activity than the other 2 groups (p = .003). Vulvodynia patients had the highest scores on the McGill Pain Questionnaire (p < .001). Subjects with either vulvar disorder were more likely to self-report a history of gynecologic infections than annual examination controls. Rates of sexual (p = .78) and physical abuse (p = .12) were similar for all 3 groups.
CONCLUSIONS
Patients with vulvar pruritus and vulvodynia report similar rates of sexual and physical abuse.
Topics: Adolescent; Adult; Aged; Aged, 80 and over; Case-Control Studies; Female; Hospitals, Teaching; Humans; Interpersonal Relations; Michigan; Middle Aged; Pain Measurement; Parity; Physical Abuse; Pruritus Vulvae; Risk Factors; Sex Offenses; Sexual Behavior; Sexually Transmitted Diseases; Surveys and Questionnaires; Vulvodynia; Women's Health; Young Adult
PubMed: 26111040
DOI: 10.1097/LGT.0000000000000075 -
Zhongguo Zhong Yao Za Zhi = Zhongguo... Mar 2015Mycotic vaginitis is a common and frequently-occurring gynaecopathia and easy to attack repeatedly, so painful to patients. In this study, the authors observed the... (Randomized Controlled Trial)
Randomized Controlled Trial
Mycotic vaginitis is a common and frequently-occurring gynaecopathia and easy to attack repeatedly, so painful to patients. In this study, the authors observed the clinical efficacy of Sophora gel combined with Fluconazole capsules in treating mycotic vaginitis, in order to seek an effective method for treating mycotic vaginitis. Totally 85 patients with mycotic vaginitis treated in our hospital between December 2012 and July 2014 were randomly divided into the treatment group (43 patients) and the control group (42 patients). The treatment group was given vaginally Sophora gel (one piece every night for 14 days) and orally Fluconazole capsules (150 mg, once every three days, four times in total); The control group was only administered with Fluconazole capsules. The total efficacy, cure rate, recurrence rate and clinical symptom improvements of the two groups were observed. The results show that the total efficacy, the cure rate and the recurrence rate of the treatment group vs. the control group were respectively 97.7%, 90.7% and 2.6% vs. 83.3%, 71.4% and 20.0%, with statistical significance in their differences (P < 0.05). The treatment group showed reduced leucorrhea, pruritus vulvae disappearance and earlier mucosal hyperemia disappearance than the control group, with statistical significance in their differences (P < 0.05). In conclusion Sophora gel combined with Fluconazole capsules can improve antifungal activity of drugs, relieve clinical symptoms, shorten the course of disease, enhance the cure rate and reduce the recurrence rate; So this therapy can be widely applied in clinic.
Topics: Adult; Antifungal Agents; Capsules; Drug Therapy, Combination; Drugs, Chinese Herbal; Female; Fluconazole; Humans; Mycoses; Sophora; Treatment Outcome; Vaginitis; Young Adult
PubMed: 26087566
DOI: No ID Found -
Zhongguo Zhen Jiu = Chinese Acupuncture... Jan 2015
Topics: Acupuncture Therapy; Female; Humans; Middle Aged; Pruritus Vulvae
PubMed: 25906578
DOI: No ID Found -
African Health Sciences Dec 2014To investigate the risk factors associated with candida infection of the genital tract in the tropics.
OBJECTIVE
To investigate the risk factors associated with candida infection of the genital tract in the tropics.
METHODS
We performed questionnaire survey and experiments at the Hainan branch of General Hospital of People's Liberation Army, Hainan General Hospital and Sanya Maternity and Child Health Care Hospital in 2013. Controls were without Candida infection of genital tract, and cases had from Candida infection.
RESULTS
We recruited 689 cases and 652 controls. The average age of cases with Candida infection of the genital tract was higher than that of controls. In the multivariate modeling, marriage (adjusted odds ratio: 2.49, 95% confidential interval: 1.09-5.67) and vaginal lavage (adjusted odds ratio: 4.41, 95% confidential interval: 1.13-5.14) were significantly associated with Candida infection of genital tract in tropics.
CONCLUSION
Candida infection was related with age. Marriage and Vaginal lavage were significant risk factors. Attention should be paid to health education for the prevention of these infections.
Topics: Age Factors; Candida; Candidiasis, Vulvovaginal; Case-Control Studies; China; Female; Health Surveys; Humans; Leukorrhea; Male; Multivariate Analysis; Pruritus Vulvae; Risk Factors; Socioeconomic Factors; Surveys and Questionnaires; Tropical Climate
PubMed: 25834491
DOI: 10.4314/ahs.v14i4.10 -
Journal of Minimally Invasive Gynecology 2015Vulvar pruritus is typically associated with fungal, bacterial, and/or dermatological conditions that routinely resolve with the use of topical medications. Pruritus... (Review)
Review
Vulvar pruritus is typically associated with fungal, bacterial, and/or dermatological conditions that routinely resolve with the use of topical medications. Pruritus rarely becomes chronic in nature without a definable pathological diagnosis. However, when this occurs, management is difficult and has limited treatment options. Few cases have reported resolution of vulvar pain or discomfort with sacral neuromodulation implantation. We report a case in which a patient experienced chronic vulvar pruritus that was refractory to medical treatments and did not have a pathological diagnosis. A neurological etiology was suspected, and upon replacement of the patient's sacral neuromodulation device, complete resolution of the vulvar symptoms occurred.
Topics: Chronic Disease; Device Removal; Electric Stimulation Therapy; Electrodes, Implanted; Female; Humans; Lumbosacral Plexus; Middle Aged; Pruritus Vulvae; Treatment Outcome; Urinary Bladder, Neurogenic
PubMed: 25757813
DOI: 10.1016/j.jmig.2015.02.020 -
Acta Dermato-venereologica Sep 2015
Randomized Controlled Trial
Topics: Administration, Cutaneous; Antipruritics; Biopsy; Cell Extracts; Double-Blind Method; Female; Fibroblasts; Humans; Pilot Projects; Pruritus Vulvae; Remission Induction; Skin Cream; Time Factors; Treatment Outcome; Vulva; Vulvar Lichen Sclerosus
PubMed: 25634582
DOI: 10.2340/00015555-2052 -
Dermatology (Basel, Switzerland) 2015Studies assessing symptoms of plasma cell vulvitis (PCV) are lacking. (Observational Study)
Observational Study
BACKGROUND
Studies assessing symptoms of plasma cell vulvitis (PCV) are lacking.
OBJECTIVES
To assess the prevalence and severity of PCV-related symptoms and identify possible associations between patient characteristics, clinical features of PCV and treatments administered before a definitive diagnosis.
METHODS
Thirty-six patients affected with PCV were included. Data were collected by direct interview and clinical examination.
RESULTS
Thirty patients (83.3%) complained of symptoms: burning was the most frequent (80.6%) while dyspareunia was the severest. Of the symptomatic patients, 73.3% experienced severe symptoms. Severity of symptoms was not associated with age at onset and duration of PCV. Almost 70% of the patients had previously undergone treatments.
CONCLUSIONS
Symptoms in PCV are frequent and more than often severe. Neither age at onset nor duration of the disease nor the extent of vulvar involvement were associated with symptom severity. Both the delay in diagnosis and the inappropriate previous treatments seem to indicate frequent misdiagnosis.
Topics: Adult; Age of Onset; Aged; Dyspareunia; Female; Humans; Middle Aged; Pain; Pain Measurement; Plasma Cells; Pruritus Vulvae; Retrospective Studies; Severity of Illness Index; Vulvitis; Young Adult
PubMed: 25633048
DOI: 10.1159/000367786 -
The American Journal of Dermatopathology Apr 2015Epidermolytic acanthoma (EA) is a rare benign acquired tumor that most commonly presents as a solitary lesion on the trunk, extremities, male genitalia, and face with a... (Review)
Review
Epidermolytic acanthoma (EA) is a rare benign acquired tumor that most commonly presents as a solitary lesion on the trunk, extremities, male genitalia, and face with a male predominance. Cases occurring on the female genitalia have rarely been reported. We describe the case of multiple localized EAs occurring on the vulva of a 31-year-old woman presenting with the chief complaint of vulvar pruritus. Although rare to occur in the vulvar area, EAs should be included in the differential diagnosis of multiple vulvar papules.
Topics: Acanthoma; Adult; Biopsy; Diagnosis, Differential; Female; Humans; Neoplasms, Multiple Primary; Predictive Value of Tests; Pruritus Vulvae; Skin Neoplasms; Vulvar Neoplasms
PubMed: 25051105
DOI: 10.1097/DAD.0000000000000101