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A vestibulectomy is a gynecological surgical procedure that can be used to treat vulvar pain, specifically in cases of provoked vestibulodynia. Vestibulodynia (vulvar vestibulitis) is a chronic pain syndrome that is a subtype of localized vulvodynia [1] where chronic pain and irritation is present in the vulval vestibule, which is near the entrance of the vagina. [2]
Lidocaine is an antiarrhythmic medication of the class Ib type. [7] This means it works by blocking sodium channels thus decreasing the rate of contractions of the heart. [10] [7] When injected near nerves, the nerves cannot conduct signals to or from the brain. [8] Lidocaine was discovered in 1946 and went on sale in 1948. [11]
They maintain a healthcare provider referral list and have geographically-organized patient support groups. The NVA secured the first funding for vulvodynia research in the 1990s, and it continues to provide seed grants for research on vulvodynia. [28] Tight Lipped is a second, younger community of vulvodynia patients. Founded in 2019, Tight ...
Vulvodynia is a chronic pain condition which involves the sensation of pain in the area surrounding the vaginal opening in response to physical stimulation such as vaginal penetration. [18] This condition can be distressing to people who have it as it can interfere with intimacy. [ 18 ]
Provoked vestibulodynia, pain provoked by contact localized to the vulvar vestibule, is the most common subtype of vulvodynia among premenopausal women. [2] The condition has been cited as affecting about 10% to 15% of women seeking gynecological care. [3]
Lidocaine's half-life in the body is about 1.5–2 hours. [2] The time it takes for the anesthetic medication to prevent pain in the area (speed of onset) and length of time that the area does not have painful sensations are considerations when choosing an appropriate approach to dental treatment.
It is a topically applied first aid liquid with active ingredients benzalkonium chloride (an antiseptic) and lidocaine (a topical anaesthetic). As an antiseptic, Bactine can help to prevent infections, while the topical anesthetic in Bactine serves to numb the surface of a body part and temporarily relieve pain and itching on the skin.
It requires there to be no anatomical or physical problems (e.g., pelvic floor dysfunction, vulvodynia, vestibulodynia, etc) and a desire for penetration. [3] [9] Treatment may include behavior therapy such as graduated exposure therapy and gradual vaginal dilation. [2] [3] Surgery is not generally indicated. [6]