Vulvodynia patients often have other medical complaints in addition to their vulvar symptoms. In a study of 301 vulvodynia patients at the University of British Columbia's Vulvar Disease Clinic, 55% indicated they had a suspected second chronic pain condition, including low-back pain, irritable bowel syndrome, migraine headaches, chronic fatigue syndrome, and fibromyalgia (39). That same study also reported a high proportion of patients with a history of yeast infections, a finding later supported by Harlow et al. (16). The
Reed et al. (2) web-based survey found that African American women with chronic vulvar pain were less likely than Caucasians to report a history of depression.
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