Volume 52, Number 1, January 2007

  Editorial
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Lawrence D. Devoe, M.D.
 
 
 


  Original Article
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Peter J. Lynch, M.D., Micheline Moyal-Barrocco, M.D., Fabrizio Bogliatto, Leonardo Micheletti, and James Scurry, M.D.
A primary goal of the society is to define and promulgate an international nomenclature for vulvar disease.
 
 


  Proceedings of the XVIIIth World Congress of the International Society for the Study of Vulvovaginal Disease, Queenstown, New Zealand, February 20-24, 2006
10
Ronald W. Jones, M.D.
With continuing and expanding international representation and an interdisciplinary structure, the ISSVD has a unique opportunity to make an enormous impact on women's health.
 
 


15
Ann Buchan, G.A.P., Pat Munday, M.D., Gill Ravenhill, B.Sc., Annie Wiggs, M.C.S.P., S.P.R., and Fiona Brooks, Ph.D.
In a retrospective qualitative study, 29 women with vulvodynia stated that delay in accessing diagnosis and treatment exacerbated the severity of their symptoms.
 
 


19
Pat Munday, M.D., Ann Buchan, G.A.P., Gill Ravenhill, B.Sc., Annie Wiggs, M.C.S.P., S.R.P., and Fiona Brooks, Ph.D.
In a retrospective, qualitative study, 27 of 29 women, with vulvodynia stated that a multidisciplinary approach to management resulted in a significant benefit.
 
 


23
Wendy M. Likes, D.N.Sc., A.R.N.P.-B.C., Cheryl Stegbauer, Ph.D., A.R.N.P.-B.C., Todd Tillmanns, M.D., and James Pruett, Ph.D.
Patients with vulvar intraepithelial neoplasia had decreased quality of life and sexual function, most notably in the domains of desire and satisfaction, as compared to a healthy comparison group.
 
 


28
Debra L. Birenbaum, M.D., and Roger C. Young, M.D., Ph.D.
The prevalence of thyroid disease in our patients with biopsy-proven lichen sclerosus is 29.9% (63 of 211), not dependent on age, and is 5-30-fold greater than in the general population.
 
 


31
Ross Pagano, M.D.
In patients with vulvodynia, colposcopy of the vulva is valuable in the diagnosis of chronic vulvar candidiasis from the detection of specific acetowhite lesions.
 
 


35
Gutemberg Almeida, Ph.D., Filomena Silveira, M.D., Isabel do Val, Ph.D., and Adriana Correa, Ph.D.
This is the first report of extraosseous chondroma in the vulvar region in a child.
 
 


38
Adriana C. Corr�a, Ph.D., L?cia Azevedo, Ph.D., Gutemberg Almeida, Ph.D., Isabel do Val, Ph.D., Tullia Cuzzi, Ph.D., and Christina Maeda Takiya, Ph.D.
Decorin may play an important role as an early marker in cases of lichen sclerosus even in the absence of histologic evidence of the disease.
 
 


43
Colleen M. Kennedy, M.D., M.S., and Rudolph P. Galask, M.D., M.S.
The majority of patients experienced only intermittent improvement or a waxing and waning of symptoms despite the varied treatments employed.
 
 


48
Dee Hartmann, P.T., M. J. Strauhal, P.T., and Carlotta A. Nelson, M.B.A., M.P.H.
Our goal in creating and conducting the survey was to come to a consensus on what the best practices for physical therapy should be for women with this diagnosis.
 
 


53
Catherine M. Leclair, M.D., Martha F. Goetsch, M.D., Ken K. Lee, M.D., and Jeffrey T. Jensen, M.D.
Most women with vestibulodynia treated with a KTP-Nd:YAG laser achieve a reduction in sexual pain and improved sexual satisfaction without excisional therapy.
 
 


59
Rebecca J. Lavy, M.D., Linda S. Hynan, Ph.D., and Robert W. Haley, M.D.
In a survey study of the prevalence of vulvar pain in an urban, minority population, the prevalence was 11% and was similar among different ethnic groups.
 
 


63
Marek Jantos, M.A., and Nicholas R. Burns, Ph.D.
Vulvodynia affects women of all age groups but is most prevalent among younger women, undermining emotional, social and sexual well-being.