We describe a device (which we have named a vaginal algometer) which can measure the pressure pain threshold (PPT) on the lateral walls of the vagina. The device was assessed in 63 healthy women and a normal range for this measurement was established. Each woman had her vaginal wall PPT measured and was asked about the acceptability of the procedure. We demonstrate that the vaginal algometer can provide a quantitative assessment of vaginal PPT and that the procedure is acceptable to most women.
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http://dx.doi.org/10.1088/0967-3334/24/4/302 | DOI Listing |
Arch Gynecol Obstet
April 2018
Department of Obstetrics and Gynaecology, University Medical Centre Mannheim, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Germany.
Purpose: To investigate psychosocial and biological parameters that may influence decision-making concerning the mode of delivery in women with caesarean section on maternal request (CSMR).
Methods: Two hundred and two women were enrolled prospectively. The study sample (n = 93) consisted of women who aimed for CSMR, the control sample were women who seeked for vaginal delivery (n = 109).
Am J Obstet Gynecol
December 2016
Department of Obstetrics and Gynecology, University of Rochester School of Medicine and Dentistry, Rochester, NY.
Background: Vulvodynia is a chronic vulvar pain disorder and fibromyalgia is a chronic widespread musculoskeletal pain disorder, both of unknown etiology. Association of these conditions is well documented. Intravaginal algometer measurement of tenderness to pressure applied to the pelvic floor muscles helps define vulvodynia associated with musculoskeletal factors.
View Article and Find Full Text PDFPain Med
July 2016
*School of Rehabilitation, Faculty of Medicine and Health Sciences, Université de Sherbrooke and Research Center of the Centre hospitalier universitaire de Sherbrooke, Sherbrooke, Québec, Canada
Objective: Women with provoked vestibulodynia (PVD) suffer pain at the entry of the vagina elicited by pressure as during vaginal penetration. To quantify vestibular pain, we developed a new instrument, an algometer. The aim of this study was to investigate the test-retest reliability of the algometer and evaluate its convergent validity for vestibular pain assessment in women with PVD.
View Article and Find Full Text PDFClin J Pain
January 2008
Department of Obstetrics and Gynecology Feinberg School of Medicine and Evanston Northwestern Healthcare, Evanston, IL 60201, USA.
Objectives: Pelvic muscle pain syndromes are poorly understood and lack reliable diagnostic criteria. Furthermore, animal models suggest that somatic pain can influence the development of pelvic visceral pain dysfunction. To develop psychophysical measures to facilitate diagnosis of pelvic floor myofascial pain syndromes, this pilot was designed to preliminarily test the feasibility, reliability, and validity of pressure-pain thresholds (PPTs) to identify and quantify pelvic floor pain sensitivity.
View Article and Find Full Text PDFObstet Gynecol
December 2007
Department of Obstetrics and Gynecology, Feinberg School of Medicine at Northwestern University, Chicago, Illinois, USA.
Objective: Women with pelvic pain conditions exhibit enhanced somatic pain sensitivity at extragenital sites. Whether comparable differences exist for pelvic floor or vaginal pain sensitivity is unknown. The present study was undertaken to estimate pelvic floor and vaginal pressure-pain detection thresholds both in women with pelvic pain and healthy women.
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