Prof.ssa Graziottin - Dolore pelvico cronico e vulvodinia

Summary

Since 2016 in Italy, an innovative project named Bunet has been in progress, led by the initiators and promoted by the Fondazione Graziottin and Associazione Italiana per la Bulbo. Aimed at understanding vulvar pain incidence, predisposing factors, and effective treatment methods, this research has already compiled 740 detailed cases, making it a significant contribution globally. The project highlights the correlation between vulvar pain and gastrointestinal issues in 70% of patients, emphasizing comprehensive diagnostic approaches, lifestyle adjustments, and tailored treatments to enhance pelvic health and alleviate suffering.

Takeaways

• 👩‍💻 From 2016, an ambitious project named BUNET is being carried out in Italy, focusing on the incidence, predisposing factors, and effective treatments for vulvar pathology.
• 📈 The initiative is spearheaded by the Fondazione Graziottin and the Associazione Italiana per la Bulbo di Nia, with significant contributions from Dr. Filippo Murina.
• 📊 BUNET aims to collect comprehensive data on vulvar pain, identifying subgroups of women particularly vulnerable to this condition across various life stages.
• 📝 A significant achievement of the project is the collection of 740 well-studied cases, offering a leading position internationally due to the absence of such extensive data elsewhere.
• 😷 66% of the women sought medical help due to pain, highlighting the debilitating impact of vulvar pain on personal and intimate relationships, with a median age of onset around 31 years.
• 🚨 The research identifies vulvodynia, especially at the vaginal entrance (vestibulodynia), as a critical area of focus, underlying the importance of addressing local inflammation.
• 🧪 An essential aspect of BUNET is its multidisciplinary approach, emphasizing the need for accurate diagnosis and avoiding the dismissal of symptoms as purely psychological.
• 📚 The project underlines the interconnectedness of vulvar pain with gastrointestinal issues, revealing that 70% of the participants suffer from related conditions like IBS and gluten sensitivity.
• 💎 Treatment strategies recommended by BUNET include a combination of antimycotics, pain relievers, and other specific medications like amitriptyline and gabapentin, adjusted to the pain's neuropathic characteristics.
• 📖 Lifestyle and dietary adjustments, along with combating obesity, are emphasized for their role in reducing inflammation and improving overall health outcomes.
• 🖥 BUNET's findings are poised to offer evidence-based guidelines for gynecologists across Italy, focusing on early diagnosis and effective, comprehensive treatment plans.

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