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Decreased mechanical pain threshold in the vestibular mucosa of women using oral contraceptives: a contributing factor in vulvar vestibulitis?
Division of Obstetrics and Gynaecology, Karolinska Institutet Danderyd Hospital, Stockholm, Sweden.
Division of Obstetrics and Gynecology, Department of Clinical Sciences, Danderyd Hospital, Stockholm.
Halmstad University, School of Business, Engineering and Science, Biological and Environmental Systems (BLESS), Biomechanics and Biomedicine.
Division of Obstetrics and Gynecology, Department of Clinical Sciences, Danderyd Hospital, Stockholm.
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2004 (English)In: Journal of reproductive medicine, ISSN 0024-7758, E-ISSN 1943-3565, Vol. 49, no 11, p. 888-892Article in journal (Refereed) Published
Abstract [en]

Objective:

To analyze possible differences in somatosensory perception in the vestibular mucosa in healthy women associated with the use of oral contraceptives.

Study design:

Quantitative sensory tests were performed on the vestibular mucosa in 39 healthy women. Twenty women were using oral contraceptives containing 30-40 µg ethinyl estradiol combined with various progestins; 19 women with regular menstrual periods not using oral contraceptives served as controls. The testing included mechanical and heat pain thresholds and detection thresholds of warmth and cold in the anterior and posterior part of the vestibule.

Results:

Significant lower mechanical pain thresholds were observed in both areas tested in women using oral contraceptives. The most sensitive area was the posterior vestibule in the group using oral contraceptives with a mechanical pain threshold of 72±10 (±SEM) mN as compared to 161±3 mN (p<0.01), in the controls. The result of the thermotest showed no significant differences between the groups.

Conclusion:

Oral contraceptives may induce increased sensitivity in the vestibular mucosa in healthy women and might be one contributing factor in the development of vulvar vestibulitis.

Place, publisher, year, edition, pages
Chicago: The Journal , 2004. Vol. 49, no 11, p. 888-892
Keywords [en]
Vulvar diseases, Contraceptives, oral, Pain threshold, Pain measurement, Vulvar vestibulitis
Identifiers
URN: urn:nbn:se:hh:diva-483ISI: 000225347200006PubMedID: 15603099Scopus ID: 2-s2.0-9344257305Local ID: 2082/822OAI: oai:DiVA.org:hh-483DiVA, id: diva2:237662
Available from: 2007-02-08 Created: 2007-02-08 Last updated: 2018-03-23Bibliographically approved

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