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A Randomized Comparison of Group Cognitive-behavioral Therapy, Surface Electromyographic Biofeedback, andVestibulectomy in the Treatment of Dyspareunia Resulting from Vulvar Vestibulitis

Vulvodynia, also known as burning vulva syndrome, is characterised by sensory abnormalities of the vulva and the surrounding tissue, such as an unpleasant burning and itching sensation, or a painful response to a stimulus that is not usually painful such as sexual intercourse or the touch of a cotton swab.

The Web-enabled Glazer Surface Electromyographic Protocol for the Remote, Real-time Assessment and Rehabilitation of Pelvic Floor Dysfunction in Vulvar Vestibulitis Syndrome: A Case Report

Biofeedback is a self regulation training technique derived from well established principles of human learning. Biofeedback is a technique, not a stand alone treatment, which is one component of a behavioral training program to facilitate acquisition of pelvic floor muscle control and other continence skills.

Thirty-three women diagnosed as suffering from vulvar vestibulitis syndrome, marked by a significant history of long-term moderate to severe chronic introital dyspareunia and tenderness of the vulvar vestibule, were selected for treatment.

"What is the hardest of all to do? To see with our eyes what our eyes lay before us. (Paraphrased, with apologies from Goethe) That essentially is the message of the innovative efforts of Ms. Deborah Bush, Chairperson of the New Zealand Endometriosis Foundation. She has developed an interactive Menstrual Health and Endometriosis Education Program that has been presented to over 40,000 young women (ages 15-24), educators and clinicians.

Chronic pelvic pain is generally used to describe a condition of pelvic discomfort not solely associated with menstruation, of more than 6 month's duration, and of a severity sufficient to cause disability in some form.

A 26 year-old woman delivered her first baby, weighing 7 pounds, 6 ounces, without difficulty after 35 minutes of pushing. Although her doctor used perineal stretching (gentle stretching of the area between the vagina and anus) and lubricants during delivery, there was a small, second-degree tear of the vagina and perineum as the baby's shoulders delivered.

I’m just back from holiday which as all OBGYN’s know is never a complete break. The usual scenario at the beach/bar/restaurant; Interested person "Oh so you’re an OBGYN, I know you’re on holiday but what do you think about my/our periods/fertility problems/pelvic pain?"

Chronic pelvic pain, a common complaint in female adolescents, is defined as cyclic or noncyclic, intermittent or constant discomfort in the pelvic region for at least 6 months. It often frustrates the patient, her parents, and her physician, and it can lead to major functional problems such as changes in family dynamics or school absenteeism.

To evaluate and compare the safety and efficacy of leuprolide versus placebo in managing chronic pelvic pain in women with clinically suspected endometriosis.

Chronic pelvic pain can be defined as cyclic or non-cyclic pain of six or more months in duration that localises to the anatomical pelvis and is severe enough to cause functional disability and require medical or surgical treatment.

An interview with Paul D. Indman, M.D., Los Gatos, CA.

SB is an 18-year-old G0 female who presented with a long-standing history of perimenstrual pelvic pain and diarrhea thought to be due to endometriosis. Her menses are irregular (1-3 month intervals).

DB is a 26-year-old nulligravid female with dysmenorrhoea and a long-standing history of endometriosis. Dysmenorrhoea began at age 16 years and has become progressively worse. She describes two unique pain profiles.

Endometriosis is a disease in which endometrial glands and stroma implant and grow in areas outside the uterus . The most common place to find implants is in the peritoneal cavity, but they can be found in any other place.

A pain score is being used to monitor women with a history of chronic pelvic pain. The total score for each day of the month is plotted into a graph and is later correlated to patient's daily activities in order to help with the diagnosis of baseline gynecological conditions.

The basic research of visceral pain mechanisms does not explain the chronic pelvic pain phenomena a gynecologist confronts in the clinic. There is, however, a link between the basic research and the acute gynecologic pain processes observed in the emergency room.

An exclusive OBGYN.net interview with C. Paul Perry, MD, Chairman, OBGYN.net Chronic Pelvic Pain, Chairman of the Board and President 1997 of the International Pelvic Pain Society, on the organization's progress, goals and vision.

The prevalence of non-alcoholic fatty liver disease (NAFLD) in polycystic ovary syndrome (PCOS) has not been previously described. As insulin resistance has been implicated in the pathogenesis of both NAFLD and PCOS, we hypothesized that NAFLD would be common in PCOS.

Once again the International Pelvic Pain Society realized a very successful meeting in Hartford this spring. We were able to pull together interesting and dynamic speakers from many different disciplines with refreshingly new perspectives on the diagnosis, treatment, management and understanding of this complex disease.

Pelvic pain must be diagnosed accurately if the pelvic pain is to appropriately treated. In order to determine the cause of pelvic pain obtain the history of the pelvic pain. An examination is done.

Adhesions occur after almost every abdominal surgery and are the leading cause of intestinal obstruction. Here, tips for adhesion prevention and how to correct them when they do occur are provided.

Women who eat an overall good-quality diet before and during pregnancy have a lower risk of delivering babies with neural tube defects such as anencephaly and spina bifida, and orofacial malformations such as cleft lip and palate, researchers from Stanford University School of Medicine report. MORE

Physicians should no longer rule out ordering an MRI scan for patients with pacemakers or implantable cardioverter defibrillators (ICDs) as long as certain criteria can be met, according to researchers from Johns Hopkins University.

It has long been known that anemia increases the risk of death and complications in patients who have cardiovascular surgery, but results of a new study show that these risks are increased in patients with anemia who undergo various types of surgery, including gynecological procedures.

A patient with group B strep presents requesting induction at 38 weeks. Three of her previous pregnancies resulted in precipitous delivery at or before 38 weeks. The patient expresses fears of possible intrapartum GBS fetal infection and other anxieties...

A patient with group B strep presents requesting induction at 38 weeks. Three of her previous pregnancies resulted in precipitous delivery at or before 38 weeks. The patient expresses fears of possible intrapartum GBS fetal infection and other anxieties.

Women with breast cancer have a new ally in their fight, as researchers now believe zoledronic acid will help prevent bone loss associated with adjuvant aromatase inhibitor therapy. The latest results from the Z-FAST trial were published in Cancer by Dr Adam M. Brufsky, professor of medicine at the University of Pittsburgh School of Medicine and associate director of clinical investigation for the University of Pittsburgh Cancer Institute, and colleagues.

Millions of US women are affected by the systemic skeletal disorder osteoporosis. As the population of aging female patients continues to rise, so do the medical and economic burdens of osteoporotic fracture. Thus, the time has arrived for both aggressive management and enhanced prevention of this disease in women of all ages.