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Women with chronic pelvic pain frequently endure long delays in referral to appropriate specialties for diagnosis and care. In this segment, a pain medicine psychologist and a pain medicine specialist outline what primary care should know about the epidemiology, risk factors and etiology of various...
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The pathophysiology of vulvar pain is poorly understood, with the result that less than 2% of affected women are properly diagnosed and treated. The diversity of patient characteristics additionally confounds evaluation and effective treatment. This segment offers guidance on incorporating...
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Dysmenorrhea, or chronic menstrual pain, is the most common gynecological pain condition, affecting from 45% to 95% of menstruating women. But because it is commonly considered a normal aspect of the menstrual cycle, it is often undertreated. Dr. Lamvu considers the consequences of this...
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An article in the April 2 edition of The Washington Post offers confirmation of a problem that has been extensively discussed by members of PAINWeek faculty: the persistent and prevalent under diagnosis of women’s chronic pain conditions. Journalist Hillary Gulley relates her personal experience of...
| Podcast
Painful menstruation, or dysmenorrhea, is the most common gynecological pain condition, affecting 45% to 95% of menstruating women. In spite of its prevalence, it is often ignored and poorly treated because many healthcare providers and patients may consider pain a normal part of the menstrual cycle...
| Podcast
Chronic vulvar pain, or vulvodynia, is a prevalent pain disorder that affects nearly 14 million women in the US. Unfortunately a poor understanding of disease pathophysiology leads to less than 2% of women actually being properly diagnosed and treated. Treatment recommendations vary widely and few...
| Podcast
The prevalence of chronic pelvic pain in women aged 18 to 50 is around 15%. However, only one-third of these women seek medical care. Also, the average time from presentation to a primary care provider and appropriate specialty referral and diagnosis ranges from 3 to 7 years. Not only is it...
| Article
Clinicians at Seattle Children’s Hospital report that they have brought pediatric patients with Crohn’s disease and ulcerative colitis (UC) into remission using diet alone. Of the first time advance, lead researcher and gastroenterologist David Suskind, MD, asserted, “This changes the paradigm for...
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A gynecologic pain specialist discusses vulvodynia in the context of other women's pain conditions, with guidance on pain mechanisms and differential diagnosis. With a prevalence of 8% to 20% of the patient population, vaginal pain is deserving of greater clinical attention. Watch the segment to...
| Article
Urogenital pain affects at least 25% of reproductive age women. This includes interstitial cystitis, endometriosis, vulvodynia, and then also dyspareunia--a term for painful intercourse, which is really common not just in postmenopausal women, but in premenopausal women. As a physiatrist, I am...