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Multimodal Tx for vulvar vestibulitis studied.(Gynecology)
CHARLESTON, S.C. -- A combination of intralesional steroids, antifungal therapy, and physical therapy may be effective for the treatment of vulvar vestibulitis syndrome, Carolyn Gardella, M.D., reported in a poster at the annual meeting of the Infectious Diseases Society for Obstetrics and Gynecology.
Of 21 women treated with intralesional steroids after failing treatment with topical steroids, 68% had complete resolution of symptoms, and all patients had at least 80% improvement.
Twelve of the 21 women also were treated with yeast suppressive therapy, and 14 underwent physical therapy for levator muscle hypertonus, noted Dr. Gardella of the University of Washington, Seattle.
Of the 12 women who also received yeast suppressive therapy, 10 (83%) had complete resolution of symptoms, but only 4 of the 9 (44%) who did not receive yeast suppressive therapy had symptom resolution, Dr. Gardella noted.
All patients were seen by a single clinician at a ...
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