Pelvic Floor D/O

Question 1

chronic pelvic pain is defined as

Answer 1

noncyclic pain for 6 months
pain localized to pelvis, anterior abd wall @/or below umbilicus or lumbosacral back / buttocks
pain sufficiently severe to cause functional disability

Question 2

vulvar discomfort x 3-6 months w/o identifiable cause

Answer 2

Vulvodynia

Question 3

Tx of vulvodynia

Answer 3

Multimodal
Behavioral therapy
5% topical Lidocaine
Topical gabapentin
Antidepressants- TCA 1st line
Anticonvulsants

Question 4

Dx of localized Provoked Vulvodynia

Answer 4

light touch cotton applicator in right area tenderness + redness

Question 5

Tx of localized Provoked Vulvodynia

Answer 5

Neuro Meds- Gabapentin, TCA’s

Topical Lidocaine