Vulvar Vestibulitis Syndrome: A Form of Reflex Sympathetic Dystrophy?
Bibliographic record
Abstract
OBJECTIVE: Our purpose was to determine whether vulvar vestibulitis syndrome is a form of reflex sympathetic dystrophy syndrome. MATERIALS AND METHODS: Between October 1, 1998, and February 16, 1999, 20 subjects attending a gynecology clinic at a tertiary care center received diagnoses of vulvar vestibulitis syndrome. A history was recorded, and a gynecological examination was performed for each, including a detailed description of the vulva, vaginal Gram's stain, vaginal culture, pH, and wet preparation of any discharge. Vulvar examination included assessing each subject's response to touch, pressure, pinprick, vibration, and cold. Subjects completed the short form of the McGill Pain Questionnaire. RESULTS: Twenty subjects with vulvar vestibulitis syndrome (average age, 30.6 years; range, 20-71 years) had pain present an average of 4 years and 8 months (range, 6 months-33 years). Pain occurred with entry dyspareunia, tampon insertion, or touching of the vestibule. Vulvar vestibular erythema was present in 13 subjects. None of the 20 subjects felt pain to light touch on the vulvar vestibule. Light pressure produced allodynia in all 20. Nine subjects had hyperalgesia to pinprick; five subjects had allodynia in response to vibration; and three subjects experienced allodynia to cold. Summation and aftersensation to test modalities were uncommon. CONCLUSION: Though both vulvar vestibulitis and reflex sympathetic dystrophy seem to be neuropathic pain syndromes, they do not share enough physical characteristics to be considered the same pathological processes.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.003 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".