Evidence map›Paper›PMID 30847806›Full record

ReviewDrugs2019

Treatment of Vulvodynia: Pharmacological and Non-Pharmacological Approaches.

Natalie O Rosen, Samantha J Dawson, Melissa Brooks, Susan Kellogg-Spadt

Abstract readReview
PubMed Publisher
In one paragraph

Review in Drugs, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
5.3field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 79 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Review
  5. Article
  6. Botulinum toxin for provoked vestibulodynia.The Cochrane database of systematic reviews · 2025
    Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Vulvodynia - A contemporary understanding and practical approach in primary care settings.Malaysian family physician : the official journal of the Academy of Family Physicians of Malaysia · 2024
    Review
  12. Article
  13. Review
  14. Inflammation, lipids, and pain in vulvar disease.Pharmacology & therapeutics · 2023
    Review
  15. Article
  16. Article
  17. Review
  18. LadyliftPrzeglad menopauzalny = Menopause review · 2022
    Article
  19. Review
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 2 countries.

Natalie O RosenDepartment of Psychology and Neuroscience, Dalhousie University, Halifax, NS, Canada. nrosen@dal.ca.ORCID http://orcid.org/0000-0002-4525-0770
Samantha J DawsonDepartment of Psychology and Neuroscience, Dalhousie University, Halifax, NS, Canada.ORCID http://orcid.org/0000-0002-2326-3773
Melissa BrooksDepartment of Obstetrics and Gynaecology, Dalhousie University, Halifax, NS, Canada.ORCID http://orcid.org/0000-0002-8361-5291
Susan Kellogg-SpadtDepartment of Obstetrics and Gynaecology, Drexel University College of Medicine, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0001-8563-2223
Dalhousie University · CABryn Mawr College · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Vulvodynia is a common, recurrent, vulvar pain condition with debilitating consequences for affected women's health and quality of life. The heterogeneity of women suffering from vulvodynia as well as its uncertain and likely multifactorial etiology pose a significant challenge to identifying any kind of "gold standard" treatment. Thus, treatment providers must be well versed in the various options and the evidence for each. In this review, we begin with pharmacological treatments, followed by non-pharmacological treatments, surgery, and finally multimodal treatments. For each approach, we briefly discuss the method, mechanism of action, and empirical support for the treatment. In sum, pharmacological treatments that may be beneficial but require further research include antinociceptive agents (lidocaine, capsaicin), anti-inflammatory agents (corticosteroids, interferon), neuromodulating medications (anticonvulsants and antidepressants), hormonal agents, and muscle relaxants (e.g., botulinum toxin). There is strong evidence to support and recommend non-pharmacological interventions including psychological therapy, pelvic floor physical therapy, as well as surgery (i.e., vestibulectomy for provoked vestibulodynia) for the treatment of vulvodynia. We conclude this review with a discussion of issues that may have hindered progress of treatment efficacy and effectiveness, and recommendations for moving the field forward.

Indexed as

AnalgesicsAnti-Inflammatory AgentsCombined Modality TherapyFemaleHormonesHumansNeurotoxinsNeurotransmitter AgentsPelvic FloorPsychoanalytic TherapyQuality of LifeTreatment OutcomeVulvodyniaAnalgesicsAnti-Inflammatory AgentsHormonesNeurotoxinsNeurotransmitter Agents

Identifiers

PMID30847806
OpenAlexW2922206637

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.