Maixner, William

Background: Despite considerable advances in our understanding of mechanisms operative in persistent pain states, little is known about the pathophysiology of chronic pain in gynecology. Advances in the field have been critically impaired b…

Introduction: • Vestibulodynia is the most common from of chronic vulvovaginal pain affecting nearly 1 in 10 women at some point in their lifetime • The diagnosis of vestibulodynia is diagnosis of “exclusion” in that it is rendered only aft…

Introduction: • Vestibulodynia, the most common type of chronic vulvovaginal pain, affects nearly 1 in 10 women at some point in their lifetime1 • Current clinical diagnostic criteria for vestibulodynia dates back to Friedrich’s case series…