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Descriptors of Vulvodynia

A Multisocietal Definition Consensus (International Society for the Study of Vulvovaginal Disease, the International Society for the Study of Women Sexual Health, and the International Pelvic Pain Society)

Bornstein, Jacob, MD, MPA1; Preti, Mario, MD2; Simon, James A., MD3; As-Sanie, Sawsan, MD4; Stockdale, Colleen K., MD, MS5; Stein, Amy, DPT, BCB-PMD6; Parish, Sharon J., MD7; Radici, Gianluigi, MD2; Vieira-Baptista, Pedro, MD8; Pukall, Caroline, PhD9; Moyal-Barracco, Micheline, MD10; Goldstein, Andrew, MD11 on behalf of the International Society for the Study of Vulvovaginal Disease (ISSVD), the International Society for the Study of Women's Sexual Health (ISSWSH), and the International Pelvic Pain Society (IPPS)

Journal of Lower Genital Tract Disease: April 2019 - Volume 23 - Issue 2 - p 161–163
doi: 10.1097/LGT.0000000000000461
Benign Vulvovaginal Disorders
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Objectives Three scientific societies, the International Society for the Study of Vulvovaginal Disease (ISSVD), the International Society for the Study of Women Sexual Health (ISSWSH), and the International Pelvic Pain Society (IPPS) developed the “2015 ISSVD, ISSWSH, and IPPS Consensus Terminology and Classification of Persistent Vulvar Pain and Vulvodynia” (referred to as the “2015 consensus terminology”).

The terminology included 11 descriptors of vulvodynia. However, the definitions of the descriptors were not included in the 2015 consensus terminology publications. The objective of this article was to provide these definitions.

Materials and Methods The ISSVD led a discussion on the definitions for the 11 vulvodynia descriptors, with participation from the ISSWSH and IPPS. The definitions were created through a consensus process.

Results The definitions are described and the rationale for their choice is elucidated.

Conclusions The definitions of vulvodynia descriptors were determined by a multistaged process of discussion among health care providers with expertise in the pathophysiology, evaluation, and treatment of vulvodynia. The definitions were approved by the ISSVD, ISSWSH, and IPPS. It is recommended that these definitions of vulvodynia descriptors as well as the 2015 consensus terminology be used for the classification of vulvodynia.

1Department of Obstetrics and Gynecology, Galilee Medical Center and Azrieli Faculty of Medicine, Bar Ilan University, Nahariya, Israel;

2Department of Obstetrics and Gynecology, University of Torino, Torino, Italy;

3IntimMedicine Specialists and Department of Obstetrics and Gynecology, George Washington University, Washington, DC;

4Consultative Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI;

5Department of Obstetrics and Gynecology, University of Iowa, Iowa City, IA;

6Beyond Basics Physical Therapy Midtown, New York, NY;

7Departments of Clinical Psychiatry and Medicine, Weill Cornell Medical College, New York Presbyterian Hospital/Westchester Division, New York, NY;

8Hospital Lusíadas Porto and Unidade de Tracto Genital Inferior, Serviço de Ginecologia e Obstetrícia, Centro Hospitalar de São João, Porto, Portugal;

9Department of Psychology, Queen's University, Kingston, Ontario, Canada;

10Tarnier-Cochin Hospital, Department of Dermatology, Paris, France; and

11Department of Obstetrics and Gynecology, The George Washington University School of Medicine and Health Sciences and the Center for Vulvovaginal Disorders, Washington, DC

Correspondence to: Jacob Bornstein, MD, MPA, Galilee Medical Center, 5 Ben-Zvi Blvd, Naharia 22100014, Israel. E-mail: mdjacob@gmail.com

The authors have declared they have no conflicts of interest.

The authors of the current article represent the 3 societies involved in the 2015 consensus terminology paper (ISSVD, ISSWSH, and IPPS), and they are listed based on their relative contributions in developing the definitions proposed in the article.

Members of the 2017–2019 ISSVD Terminology Committee: Jacob Bornstein (Chair), Claudia Marchitelli (Co-chair), Jill Allbritton, Fabrizio Bogliatto, Tanja Bohl, Laura Brodzinsky, Christine Conageski, Jose Fonseca Moutinho, Micheline Moyal-Barracco, Chemen Neal (Tate), Gianluigi Radici, Maria Angelica Selim, Amanda Selk, Colleen Stockdale, Terry Vanderlinde, and Pedro Vieira Baptista.

Members of the 2015 consensus terminology writing group: Jacob Bornstein, Andrew T. Goldstein, Colleen K. Stockdale, Sophie Bergeron, Caroline Pukall, Denniz Zolnoun, and Deborah Coady.

Copyright © 2019 by the American Society for Colposcopy and Cervical Pathology