dyspareunia painful intercourse Vestibulodynia vulvodynia
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: women (age > 18) diagnosed with provoked vestibulodynia, based on dyspareunia > / = 3 months and provoked pain at vestibulum vaginae.
Exclusion criteria
Exclusion criteria: A potential subject who meets any of the following criteria will be excluded from participation in this study: - Current active psychiatric disease, psychiatric history is no exclusion criterium - Gynecological malignancy (in history) - Current active vulvovaginal disease (eg. lichen sclerosis, infection) - Prior pelvic radiotherapy / brachytherapy - Neuromuscular disease - Presence of other electrical devices (pacemaker (ICD), neurostimulator) - Current pregnancy - History of cardiac arrhythmia - History of epilepsy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary outcome: Decrease of pain during (attempt to) penetration, measured by a decrease in visual analog scale (VAS) score (VAS score 0-10) with 3 points after 24 months (T24), compared to VAS score at randomization (T0) | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcomes: - VAS score during (attempt to) penetration after 3 months (T3), 6 months (T6), and 12 months (T12) compared to VAS score at randomization (T0) and at the end of follow-up (T24) - The use and therapy compliance: TENS and/or online psycho-education - Quality of life measured with validated questionnaires: pelvic floor distress inventory (PFDI-20), hospital anxiety and depression scale (HADS), sexual function and distress (FSFI and FSDS) and the global impression of improvement (PGI-I) - Patient would recommend the treatment to fellow patient: scale 1-5 - Patient feels autonomous in her treatment and recovery: scale 1-5 - Penetration is possible: Yes/No | — |
Countries
Netherlands