Young Vulvodynia: Effect and Efficacy of a Multimodal Treatment for Young Women With Vulvar Pain

What this Trial Is About

Researchers are evaluating a multimodal treatment for provoked vulvodynia in young women aged 15 to 23 years. This study uses a sequential single case experimental design with randomized baseline lengths to assess both the effectiveness and patient experiences of the treatment. The goal is to understand how this combined physiological and psychosocial approach impacts vulvar pain and related factors. The treatment includes 11 sessions focusing on goal-directed behavioral changes that address physical and psychological aspects of vulvodynia. These sessions involve various professionals and may include partner participation in two sessions. The intervention covers vulva care, lubrication exercises, pelvic floor relaxation, pain-related thoughts and behaviors, and communication strategies. Participants undergo a baseline period of 4, 5, or 6 weeks with no intervention, followed by 25 weeks of treatment. Participants will complete short self-assessment questionnaires twice weekly during the baseline and treatment periods using the m-Path app. Additional comprehensive web-based questionnaires are completed before treatment, after treatment, and at a six-month follow-up. Researchers will measure genital pain intensity as the primary outcome and assess sexual function, pelvic floor tension, treatment goals, pain coping, mood symptoms, quality of life, and communication as secondary outcomes. The study includes safety monitoring and continued evaluation over time.

Young Vulvodynia: Effect and Efficacy of Multimodal Treatment.