Abstract

Transmucosal delivery of macromolecules using vaginal electroporation to treat vestibulodynia: A pilot study

Highlights

  • Vulvodynia is a common multifactorial, heterogeneous, and chronic gynecological disorder that affects a large number of women worldwide

  • The Visual analogue scale (VAS) was reduced from a baseline of 7.4 (1.2) to a 6.3 post therapy (1.8), and despite the variation not apparently of large extent was statistically significant (p 0.05)

  • Based on what aforementioned vaginal EP can be defined as an promising technique in the management of VBD

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Summary

Introduction

Vulvodynia is a common multifactorial, heterogeneous, and chronic gynecological disorder that affects a large number of women worldwide. It is estimated that the prevalence rate of vulvodynia is 16% in women aged 18 to 64 years, resulting in constant demand for medical care [1]. The predominant form of vulvodynia, provoked vestibulodynia (VBD), is characterized by burning and cutting pain localized to the vulvar vestibule in response to light touch [2]. Vulvodynia may result from peripheral sensitization in the skin, central sensitization in the spinal cord, or both of them. An inflammatory process in the vulvar skin could release a cascade of cytokines that sensitize the nociceptors resulting in a physical increase in the number of nerves. Provoked vestibulodynia (VBD), is characterized by burning and cutting pain localized to the vulvar vestibule in response to light touch

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