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Role of Vulvar Care Guidelines in the Initial Management of Vulvar Complaints

Lifits-Podorozhansky, Yulia Marie MD; Podorozhansky, Yelena MD; Hoffstetter, Susan PhD, NP; Gavard, Jeffrey A. PhD

Journal of Lower Genital Tract Disease:
doi: 10.1097/LGT.0b013e318232fd9a
Original Articles
Abstract

Objective: This study aimed to determine the effectiveness of vulvar care guidelines as the initial treatment of vulvar complaints.

Materials and Methods: A chart review was conducted at the Saint Louis University Vulvar and Vaginal Disease Center. Women with vulvar symptoms in the absence of specific identifiable causes were evaluated and given guidelines for vulvar care. An 11-point Likert scale was used to rate symptoms at the initial and follow-up visits. Compliance level was determined.

Results: A decrease in mean scores was shown for dyspareunia (7.5 ± 2.0 to 4.6 ± 3.1, p < .001), burning after intercourse (6.8 ± 2.7 to 3.4 ± 2.4, p = .10), vulvar burning (5.7 ± 2.6 to 2.1 ± 1.9, p < .001), vulvar itching (4.9 ± 2.8 to 2.5 ± 2.6, p < .001), and vulvar pain (5.8 ± 2.8 to 2.2 ± 3.0, p < .01). The mean dyspareunia difference scores were significant between the low- and high-compliance groups.

Conclusions: Vulvar care guidelines are successful for the management of vulvar complaints.

In Brief

Vulvar care guidelines are a valuable tool in the initial management of vulvar complaints.

Author Information

Department of Obstetrics, Gynecology and Women’s Health, Saint Louis University School of Medicine, St. Louis, MO

Reprint requests to: Yulia Marie Lifits-Podorozhansky, MD, Department of Obstetrics, Gynecology and Women’s Health, Saint Louis University School of Medicine, 6420 Clayton Rd, Suite 290, St. Louis, MO 63117. E-mail: lifitsy@slu.edu

The authors did not receive financial support for this study.

The authors have no conflict of interest to declare.

©2012The American Society for Colposcopy and Cervical Pathology