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Pelvic floor physical therapy for vulvodynia: a clinician’s guide

In Female Pelvic Pain, Vulvodynia by Stephanie Prendergast12 Comments

  By Stephanie Prendergast   Recently I was asked to write an article about pelvic floor physical therapy for the treatment of vulvodynia, which will be published later this year as a tool for gynecologists. Since our blog readers are a combination of clinicians and people with pelvic pain I figured I would share it here too. Warning: it is …

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Jagged Little Pill: Part Two

In Female Pelvic Pain, Vulvodynia by Joshua Gonzalez, MD4 Comments

  By Joshua Gonzalez, MD   After reading my last post, Jagged Little Pill, many of you who have had similar suspected OCP-related problems may be thinking there’s no hope.  Trust me, you are not doomed if you’ve ever taken an oral birth control and you have symptoms of vulvodynia.  My goal this week is to reassure you that you’re …

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Jagged Little Pill: How Oral Contraceptives Wreak Havoc on the Female Body

In Female Pelvic Pain, Stress Urinary Incontinence, Vulvodynia by Joshua Gonzalez, MD7 Comments

    By Joshua Gonzalez, MD   The advent of oral birth control pills in the 1960s was heralded as a huge victory for women’s rights.  Finally, women could take control of their bodies and their fertility.  Since then, oral contraceptive pills (OCPs) have become ubiquitous in reproductive aged women with nearly 10 million women today using The Pill as …

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New Classification System for Persistent Vulvar Pain

In Female Pelvic Pain, Vulvodynia by Stephanie Prendergast2 Comments

            By Stephanie Prendergast   In a previous blog post  I described my experience while participating in an International Nomenclature Consensus Conference. As you may recall, the motivation for a consensus meeting originated  because there was “an unmet medical need for a comprehensive, evidence-based set of vulvovaginal pain diagnoses that can be easily utilized by …

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What is Vulvodynia? The International Consensus Conference on Vulvodynia Nomenclature

In Female Pelvic Pain, Vulvodynia by Stephanie Prendergast19 Comments

By Stephanie Prendergast What is Vulvodynia? Is it a symptom, a disease, or a syndrome? What does the term ‘Vuvlodynia’ mean to people with vulvar pain, pelvic pain specialists, medical professionals, and the community in general? In a previous blog post I wrote about how in the pelvic pain world, diagnosis does not dictate treatment. Many pelvic pain diagnoses simply describe the …

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Why Stephanie and Liz are Writing a Book

In Female Pelvic Pain, Male Pelvic Pain by Stephanie Prendergast22 Comments

For the past six months, Stephanie and Liz have been busily working on writing a book titled Pelvic Pain Explained: Everything you Need to know to Help you Navigate the Complex Terrain of Pelvic Pain. The book will be published by Rowman & Littlefield. (We don’t have the publication date yet, so stay tuned for that info!) As we’ve watched …

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2014 IPPS Conference Must-Read Nuggets: Part II

In Female Pelvic Pain, Male Pelvic Pain by Stephanie Prendergast5 Comments

Last week we brought you our first round of “must-read” nuggets from the 2014 IPPS Conference in Chicago, this week we’re offering up the second round. Allison heard Andrew Goldstein, M.D. discuss The Role of Combined Hormonal Contraceptives and Vulvodynia. Dr. Goldstein argues that the use of birth control pills could be linked to the genesis of female pelvic pain. …

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2014 IPPS Conference Must-Read Nuggets: Part I

In Female Pelvic Pain, Male Pelvic Pain by Stephanie Prendergast11 Comments

Last week our staff attended the 2014 Annual Meeting of the International Pelvic Pain Society (IPPS) in Chicago. During its nearly 20-year existence the IPPS has been a major driver of the progress made in the treatment of chronic pelvic pain. And what makes the Annual Meeting of the organization so exciting is that it provides an opportunity for our …

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Do Oral Contraceptive Pills Cause Vulvodynia?

In Female Pelvic Pain by Stephanie Prendergast5 Comments

by Guest Bloggers: Dr. Andrew T. Goldstein, Dr. Jill Krapf, Zoe Belkin The debate about the role of oral contraceptive pills (OCPs) in vulvodynia has been underway for almost two decades. More than a dozen different research articles have been written on the topic, both supporting and refuting the association. In this article we will examine this very important issue. …

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Vulvovaginal Disease Update 2014: Must-read Nuggets

In Female Pelvic Pain, Vulvodynia by Stephanie Prendergast8 Comments

Last month three of our PTs, Allison, Malinda, and Stacey attended the Vulvovaginal Disease Update 2014. Vulvar dermatoses affects millions in the United States often greatly interfering with a woman’s quality of life. And as pelvic floor PTs, it’s certainly an issue that can overlap with the musculoskeletal impairments that we treat. Therefore, this annual conference, which is hosted by …

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Molly’s Pelvic Pain Success Story

In Female Pelvic Pain by Stephanie Prendergast13 Comments

One month after my thirty-second birthday, I woke up in excruciating pain—it was as if someone had set me on fire while I was asleep—the focal point of my pain was the left side of my vulva but I also had extreme vaginal and urethral burning. My first thought was that I had either a yeast or bladder infection; I …

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Case Study: PT for a Vulvodynia Diagnosis

In Female Pelvic Pain, Vulvodynia by Stephanie and Liz Prendergast and Rummer2 Comments

Over the years we’ve treated a wide variety of pelvic floor syndromes at PHRC, and one of the things we’ve learned is that every case is different. Therefore, there is no such thing as a one-size-fits-all treatment plan. We hope that our new “Case Study” section will help to drive this important reality home. Every couple of months we will …