II. Epidemiology
- Perimenopausal or postmenopausal women
III. Symptoms
- Chronic diffuse vulvar burning or Pruritus
- Less severe than Localized Vulvar Dysesthesia
- Less Dyspareunia
- Less point tenderness
- Urethral or Rectal discomfort
- Chronic Low Back Pain may be related
IV. Signs
- Generalized dysesthesia
- Concurrent dermatitis suggests other diagnosis
- See Vulvodynia for differential diagnosis
V. Associated conditions
- Urethral Syndrome
- Pudendal neuralgia (Pudendal canal syndrome)
VI. Management
- See Vulvodynia
VII. References
- Black (1995) OBGyn Dermatology, Mosby-Wolfe
- Apgar (1996) Am Fam Physician 53(4):1171-80 [PubMed]
- Barhan (1997) Postgrad Med 102(3):121-32 [PubMed]
- Metts (1999) Am Fam Physician 59(6):1547-56 [PubMed]