{"id":7985,"date":"2020-04-26T16:41:40","date_gmt":"2020-04-26T19:41:40","guid":{"rendered":"https:\/\/doctorhoogstra.com\/es\/vulvodinia-generalizada\/"},"modified":"2020-10-30T07:36:44","modified_gmt":"2020-10-30T10:36:44","slug":"vulvodynia-generalized","status":"publish","type":"wiki","link":"https:\/\/doctorhoogstra.com\/en\/wiki\/vulvodinia-generalizada\/","title":{"rendered":"Generalized vulvodynia"},"content":{"rendered":"<p><\/p><div id=\"ez-toc-container\" class=\"ez-toc-v2_0_87_1 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewbox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewbox=\"0 0 24 24\" version=\"1.2\" baseprofile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 eztoc-toggle-hide-by-default' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/vulvodinia-generalizada\/#Que-es-generalizado-vulvodinia\" >What is widespread vulvodynia?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/vulvodinia-generalizada\/#%C2%BFCuales-son-los-sintomas-de-la-vulvodinia-generalizada\" >What are the symptoms of generalized vulvodynia?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/vulvodinia-generalizada\/#%C2%BFQue-causa-la-vulvodinia-generalizada\" >What causes generalized vulvodynia?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/vulvodinia-generalizada\/#Manejo-de-vulvodinia-generalizada\" >Management of generalized vulvodynia<\/a><\/li><\/ul><\/nav><\/div>\n\n<section class=\"textBlock\">\n<h2><span class=\"ez-toc-section\" id=\"Que-es-generalizado-vulvodinia\"><\/span>What is it <span class=\"term\" data-term-id=\"308\">generalized<\/span> vulvodynia?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Generalized vulvodynia is one of the most common types of vulvodynia or vulvar pain of unknown cause. In men, a similar disorder is known as the male genitalia. <span class=\"term\" data-term-id=\"843\">dysesthesia<\/span>. It was previously known as dysesthetic vulvodynia and is a form of <span class=\"term\" data-term-id=\"47\">cutaneous<\/span> dysesthesia<\/p>\n<p>Vulvodynia is defined by the International Society for the Study of <span class=\"term\" data-term-id=\"1003\">Vulvovaginal<\/span> Diseases (ISSVD) such as vulvar pain of at least 3 months duration, without a clearly identifiable cause.<\/p>\n<p>Generalized vulvodynia describes <span class=\"term\" data-term-id=\"309\">extended<\/span> pain in the entire vulvar region where there is no physical explanation for it. Pain may be present on the lips, clitoris, vestibule, <span class=\"term\" data-term-id=\"889\">perineum<\/span>, Monday pubis and inner thighs. The pain may be constant or not caused by touch or pressure on the <span class=\"term\" data-term-id=\"1004\">vulva<\/span>. Activities like sex, cycling, and horse riding can worsen symptoms.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCuales-son-los-sintomas-de-la-vulvodinia-generalizada\"><\/span>What are the symptoms of generalized vulvodynia?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Patients with generalized vulvodynia can describe intermittent or continuous symptoms, including:<\/p>\n<ul>\n<li>Generalized and widespread vulva discomfort and pain, not altered by position or activity (vulvar burning only when sitting suggests pudendal nerve entrapment)<\/li>\n<li>Burning, raw meat sensation, irritation, stinging and throbbing sensation in the vulva.<\/li>\n<li>Pushing, as if the needle is stuck in the vulva, vagina, and \/ or anus<\/li>\n<li>The pain can be started by a light touch or pressure (this is called <span class=\"term\" data-term-id=\"823\">allodynia<\/span>), but it often occurs spontaneously<\/li>\n<li>Pain and discomfort sometimes experienced in the urethra or rectum.<\/li>\n<li>Sexual intercourse can be unpleasant, difficult, or impossible due to discomfort.<\/li>\n<li>Related to stress and <span class=\"term\" data-term-id=\"319\">chronic<\/span> pain conditions such as headaches, face, tongue and mouth pain (burning in the mouth <span class=\"term\" data-term-id=\"350\">syndrome<\/span>), fibromyalgia, irritable bowel syndrome, painful bladder syndrome, bloating, fatigue, sleep problems, and eating disorders.<\/li>\n<\/ul>\n<div id=\"square-placement-country-holder\" class=\"country-dependent advert\">\n<div class=\"box-placement square-placement\">\n<div class=\"advert__frame\">\n<div id=\"dermnet-dermnet-mobbox\">\n<\/div><\/div><\/div><\/div>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQue-causa-la-vulvodinia-generalizada\"><\/span>What causes generalized vulvodynia?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>By definition, the cause of generalized vulvodynia is unknown. Current theories consider generalized vulvodynia to be a chronic pain syndrome related to hypersensitivity <span class=\"term\" data-term-id=\"952\">nerves<\/span>. One or more of the following may play a role in the development of this condition.<\/p>\n<ul>\n<li>Stretched and inflamed nerves in the vulvar area (entrapment of the pudendal or pudendal nerve <span class=\"term\" data-term-id=\"347\">neuralgia<\/span>), spine or related structures<\/li>\n<li>Trigger points where there is <span class=\"term\" data-term-id=\"894\">proliferating<\/span> or sensitized nerve endings in the skin itself<\/li>\n<li>Previous vulvar skin condition, surgery, or delivery causing scarring or other injury<\/li>\n<li>Hormonal changes that cause vulvar dryness, especially during menopause.\n<\/li>\n<li>Previous <span class=\"term\" data-term-id=\"490\">inflammatory<\/span> disorders such as herpes simplex or <a class=\"wpil_keyword_link\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/infeccion-de-herpes\/\" title=\"Herpes zoster\">Herpes zoster<\/a> \/shingles <span class=\"term\" data-term-id=\"145\">infection<\/span>\n<\/li>\n<li>Emotional stress<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"Manejo-de-vulvodinia-generalizada\"><\/span>Management of generalized vulvodynia<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Women suffering from generalized vulvodynia require a variety of treatments to help overcome their cycle of endless pain. A combination of therapies should be used which may include:<\/p>\n<ul>\n<li>Regular sleep, daily exercise and solving stressful problems.<\/li>\n<li>Physiotherapy and pelvic floor exercises to relieve muscle spasms and generalized vulvar pain. These can also help associated urethral and intestinal problems.<\/li>\n<li>Small doses of a tricyclic antidepressant such as amitriptyline (5 to 30 mg), desipramine, or nortriptyline. They are prescribed for at least several weeks or months and, if successful, may need to be continued for the long term. Side effects such as drowsiness, weight gain, and dry mouth occur in up to 50% of patients, especially when they start taking the drug.<\/li>\n<li>Anticonvulsants like carbamazepine, gabapentin, or pregabalin may <span class=\"term\" data-term-id=\"1854\">control<\/span> chronic pain. Referral to a pain specialist may be helpful.<\/li>\n<li>Support and education: both the patient and his partner and their families must understand and learn to cope with the stress that the condition can generate in relationships.<\/li>\n<\/ul>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>Que es generalizado vulvodinia? La vulvodinia generalizada es uno de los tipos m\u00e1s comunes de vulvodinia o dolor vulvar de causa desconocida. En los hombres, un trastorno similar se conoce&#8230;<\/p>","protected":false},"author":8,"featured_media":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","format":"standard","meta":{"footnotes":""},"categories":[204],"tags":[],"class_list":["post-7985","wiki","type-wiki","status-publish","format-standard","category-glosario-definiciones"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/7985","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki"}],"about":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/types\/wiki"}],"author":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/comments?post=7985"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/7985\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/media?parent=7985"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/categories?post=7985"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/tags?post=7985"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}