Psychosocial impact of chronic vulvovagina conditions.

OBJECTIVE: To describe the degree of psychosocial impairment resulting from chronic vulvovaginal disorders (VVDs). STUDY DESIGN: Seventy-five consecutive women suffering from a chronic VVD were recruited and classified using current International Society for the Study of Vulvovaginal Disease (ISSVD) classification criteria. They completed a 69-item, self-administered, comprehensive questionnaire to assess the impact of chronic VVD on psychosocial functioning and quality of life. Summary scores were calculated for 5 domains including pain, body image, relationships, emotion, quality of life and sexual function. RESULTS: After adjusting for age and duration of vulvovaginal symptoms, women with vulvodynia were more likely than women with other chronic VVDs to score significantly worse on relationship (p < 0.001), emotion (p < 0.03) and physical activity (p = 0.001) areas. The majority of subjects suffered from a worsening impact of sexual function, and no differences were detected between the groups. The overall intensity of vulvar or vaginal pain correlated weakly with the degree of psychosocial impairment in the domains of relationships, emotion and physical quality of life. CONCLUSION: Differences in quality of life exist between women with vulvodynia and those with other chronic VVDs. The presence, not the intensity, of vulvovaginal pain correlates with degree of psychosocial impairment.

Duke Scholars

Author John E Jelovsek Obstetrics and Gynecology, Urogynecology

Author Matthew Don Barber Obstetrics and Gynecology