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Objective

Characterization of the factors associated with vulvodynia in a population of young women.

Methods

Approval was obtained from IRB. Complete medical records of all women employed and treated by a single organization and diagnosed with vulvodynia during the years 2008 - 2014, were reviewed and compared with a matched control group. These records included general medical, gynaecological and mental health information. Mental health files were evaluated by clinical psychologists. Match criteria included country of birth, military fitness index and educational institution.

Results

Each arm included 174 women. Mean age at first gynaecological examination after enlistment was 19.0 (±1.1) years. Significant differences between the case and control groups were found in incidence of oral contraceptive use (89.9% vs 95.9%, respectively, P=0.04), vaginosis (56.1% vs 22.7%, P<0.001), candidiasis (47.4% vs 21.4%, P<0.001), pain syndromes (24.1% vs 10.3%, P<0.001), menstrual irregularities (20.2% vs 51.9%, P<0.001), and recurrent UTI (32.2% vs 3.2%, P<0.001). The incidence of psychiatric disorders was 27.6% vs 5.7% (P<0.001). A history of sexual abuse did not differ significantly between the groups.

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