Tampon test measurement properties in women with provoked vestibulodynia: baseline data from a pragmatic randomized clinical trial.
Provoked vestibulodynia (PVD) is a common cause of dyspareunia in young women. Because intercourse-related pain cannot be assessed consistently in all affected women, the tampon test (TT) is often used as a standardized proxy for insertional pain. This study aimed to evaluate within-person variabili…
Knowledge of menopause-associated symptoms and non-hormonal strategies: an Italian survey on social media platforms.
we aimed to provide data collected in women who were active on social media platforms about menopause-associated symptoms and their impact, as well as resources, preferences and needs, with a specific focus on non-hormonal strategies. a cross-sectional observational study conducted via an anonymous…
Characterizing sexual dysfunction in females with hypermobile Ehlers Danlos syndrome or hypermobility spectrum disorder and genito-pelvic pain through cross-sectional analysis.
Joint hypermobility is associated with connective tissue disorders, hypermobile Ehlers Danlos Syndrome (hEDS) and Hypermobility Spectrum Disorder (HSD). Affected patients have high rates of myofascial pain and mast cell dysfunction, both of which have been associated with genito-pelvic pain. To char…
Bottom-Up vs Top-Down Treatment Strategies for Pelvic Venous Disorders: Comparative Analysis of Pain Relief, Recurrence, and Procedural Burden.
To compare a peripheral "bottom-up" strategy using ultrasound-guided foam sclerotherapy with a conventional "top-down" embolization strategy in women with symptomatic pelvic venous disorders (PeVD), with respect to pain relief, recurrence-free survival, and procedural burden. This was a retrospectiv…
Multimorbidity in Chronic Overlapping Pain Conditions: From Burden to Integrated Care.
Chronic overlapping pain conditions (COPCs) refer to a set of chronic pain disorders that frequently co-occur and may involve partially overlapping mechanisms. The U.S. National Institutes of Health currently recognizes ten COPCs: fibromyalgia, painful temporomandibular disorders, chronic low back p…
Comment on: "A cluster analysis of psychological variables to identify profiles of Nociplastic pain: A cross-sectional study in women with fibromyalgia, chronic headache and vulvodynia" by Nimbi et al. are conflating the theory with the empirics.
Vulvodynia is a condition characterized by chronic vulvar pain without an identifiable cause that can have far reaching impacts on women throughout their lifetime. Its pathophysiology is complex and not well understood, which contributes to the challenge in the diagnosis and treatment of this condit…
Sciatica beyond the spine: a prospective study on laparoscopic neurolysis of pelvic sciatic and sacral nerves demonstrating long-term improvements in pain, function, mood, and bladder symptoms (VAS, SF-36, PHQ-9, OAB-V8).
Intrapelvic entrapment of the sciatic and sacral nerve roots can cause chronic pelvic pain, sciatica, and symptoms such as dysmenorrhea, dyspareunia, dyschezia, dysuria, vulvodynia, coccygodynia, and pudendal neuralgia. Conventional spine-focused approaches often overlook this cause. This study asse…