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Vulvodynia¿It Is Time to Accept a New Understanding from a Neurobiological Perspective

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Vulvodynia¿It Is Time to Accept a New Understanding from a Neurobiological Perspective

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dc.contributor.author Torres Cueco, Rafael
dc.contributor.author Nohales-Alfonso, Francisco
dc.date.accessioned 2021-10-14T11:37:01Z
dc.date.available 2021-10-14T11:37:01Z
dc.date.issued 2021
dc.identifier.citation Torres Cueco, Rafael Nohales-Alfonso, Francisco 2021 Vulvodynia¿It Is Time to Accept a New Understanding from a Neurobiological Perspective International Journal Of Environmental Research And Public Health 18 12 6639
dc.identifier.uri https://hdl.handle.net/10550/80468
dc.description.abstract Vulvodynia is one the most common causes of pain during sexual intercourse in premenopausal women. The burden of vulvodynia in a woman's life can be devastating due to its consequences in the couple's sexuality and intimacy, in activities of daily living, and psychological well-being. In recent decades, there has been considerable progress in the understanding of vulvar pain. The most significant change has been the differentiation of vulvar pain secondary to pathology or disease from vulvodynia. However, although it is currently proposed that vulvodynia should be considered as a primary chronic pain condition and, therefore, without an obvious identifiable cause, it is still believed that different inflammatory, genetic, hormonal, muscular factors, etc. may be involved in its development. Advances in pain neuroscience and the central sensitization paradigm have led to a new approach to vulvodynia from a neurobiological perspective. It is proposed that vulvodynia should be understood as complex pain without relevant nociception. Different clinical identifiers of vulvodynia are presented from a neurobiological and psychosocial perspective. In this case, strategies to modulate altered central pain processing is necessary, changing the patient's erroneous cognitions about their pain, and also reducing fear avoidance-behaviors and the disability of the patient.
dc.language.iso eng
dc.relation.ispartof International Journal Of Environmental Research And Public Health, 2021, vol. 18, num. 12, p. 6639
dc.subject Fisioteràpia
dc.title Vulvodynia¿It Is Time to Accept a New Understanding from a Neurobiological Perspective
dc.type journal article es_ES
dc.date.updated 2021-10-14T11:37:01Z
dc.identifier.doi 10.3390/ijerph18126639
dc.identifier.idgrec 148170
dc.rights.accessRights open access es_ES

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