nnpNeurology, Neuropsychiatry, PsychosomaticsНеврология, нейропсихиатрия, психосоматика2074-27112310-1342"IMA-Press", LLC10.14412/2074-2711-2021-2-4-9nnp-1533Research ArticleLECTURESЛЕКЦИЯVulvodynia: a modern perspective on the problemВульводиния: современный взгляд на проблемуМаксимоваМ. Ю.MaksimovaM. Yu.

 Россия, 125367, Москва, Волоколамское шоссе, 80 

 80, Volokolamskoye Shosse, Moscow 125367, Russia 

ШаровМ. Н.SharovM. N.

 Россия, 127473, Москва, ул. Делегатская, 20, стр. 1 

 20, Delegatskaya St., Build 1, Moscow 127473, Russia 

6112286@mail.ruЗайцевА. В.ZaitsevA. V.

 Россия, 127473, Москва, ул. Делегатская, 20, стр. 1 

20, Delegatskaya St., Build 1, Moscow 127473, Russia 

ПрокофьеваЮ. С.ProkofyevaYu. S.

 Россия, 127473, Москва, ул. Делегатская, 20, стр. 1 

20, Delegatskaya St., Build 1, Moscow 127473, Russia 

КорсунскаяИ. Л.KorsunskayaI. L.

 Россия, 127206, Москва, ул. Вучетича, 21 

 21, Vuchetich St., Moscow 127206, Russia  

РачинА. П.RachinA. P.

 Россия, 121099, Москва, ул. Новый Арбат, 32 

 32, Novyi Arbat St., Moscow 121099, Russia 

РачинС. А.RachinS. A.

 Россия, 197022, Санкт-Петербург, ул. Льва Толстого, 6-8 

 6-8, L'va Tolstogo St., Saint Petersburg 197022, Russia 

ФГБНУ «Научный центр неврологии» Минобрнауки РоссииРоссияResearch Center of Neurology, Ministry of Education and Science of RussiaRussian FederationФГБОУ ВО «Московский государственный медико-стоматологический университет им. А.И. Евдокимова» Минздрава РоссииРоссияA.I. Evdokimov Moscow State University of Medicine and Dentistry, Ministry of Health of RussiaRussian FederationГБУ «Городская клиническая больница им. С.И. Спасокукоцкого Департамента здравоохранения г. Москвы»РоссияS.I. Spasokukptskiy City Clinical Hospital DZMRussian FederationФГБУ «Национальный медицинский исследовательский центр реабилитации и курортологии» Минздрава РоссииРоссияNational Medical Research Center of Rehabilitation and Balneology, Ministry of Health of RussiaRussian FederationФГБОУ ВО «Первый Санкт-Петербургский государственный медицинский университет им. акад. И.П. Павлова» Минздрава РоссииРоссияI.P. Pavlov First Saint Petersburg State Medical University, Ministry of Health of RussiaRussian Federation20212104202113249Copyright © Maksimova M.Y., Sharov M.N., Zaitsev A.V., Prokofyeva Y.S., Korsunskaya I.L., Rachin A.P., Rachin S.A., 20212021Максимова М.Ю., Шаров М.Н., Зайцев А.В., Прокофьева Ю.С., Корсунская И.Л., Рачин А.П., Рачин С.А.Maksimova M.Y., Sharov M.N., Zaitsev A.V., Prokofyeva Y.S., Korsunskaya I.L., Rachin A.P., Rachin S.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://nnp.ima-press.net/nnp/article/view/1533

 Vulvodynia is a chronic persistent pain syndrome that affects the vulvar area and lasts more than 3 months without a clearly identifiable cause. Provoked localized pain in the vulval vestibule is the most prevalent type of vulvodynia and is interpreted as dysfunctional pain. Peripheral and central sensitization contribute to the onset and persistence of  vulvodynia. Chronic pain predictably causes significant issues  for a woman's psychological, sexual and physical health. The  diagnosis of vulvodynia includes an assessment of all the factors  associated with pain. Successful treatment of vulvodynia goes beyond identifying one trigger and prescribing one type  of treatment. Patient-centered interdisciplinary approach is the most promising, including psychotherapy, lifestyle changes,  drug therapy.  

 Вульводиния характеризуется болью постоянного характера в области вульвы, длительностью не менее 3 мес, при отсутствии какой-либо клинически значимой причины.  Спровоцированная боль, локализованная в области  преддверия влагалища, является наиболее  распространенным видом вульводинии и расценивается как  дисфункциональная боль. Периферическая и  центральная сенситизация способствует развитию и  персистирующему течению вульводинии. Хроническое  течение болевого синдрома предполагает возникновение значительных проблем, касающихся психологического,  сексуального и физического здоровья женщин. Диагностика вульводинии включает в себя оценку всех факторов,  запускающих боль. Успешное лечение вульводинии выходит  за рамки выявления одного триггера и назначения одного вида лечения. Наиболее перспективен  персонифицированный междисциплинарный подход, включающий психотерапию, изменение образа жизни,  медикаментозную терапию. 

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The authors declare that there are no conflicts of interest present.