118 Use of Intravaginal Diazepam in Treatment of Pelvic Tension Myalgia: A Case Series
Bibliographic record
Abstract
Pelvic tension myalgia (PTM) is characterized by levator ani complex hypertonicity and vaginal pain upon contraction of pelvic musculature, attempted penetration, or internal examination. Standard treatment consists of specialized pelvic physiotherapy and psychotherapy, however, the most effective treatment has yet to be determined, and reports of comparative success rates are not available. Some women experience pain that hinders physiotherapy, and access to appropriately trained physiotherapists can be limited. Thus, an alternate or adjuvant treatment to optimize quality of care and symptom management is necessary. Off-label use of vaginal diazepam is based on clinic experience as publications evaluating intravaginal diazepam use for PTM are limited. The objective of this case series is to report the rate of clinical effectiveness of vaginally administered diazepam as a treatment for PTM. Additionally, dosage, frequency of administration, rate and nature of adverse events, and patient phenotype for which treatment may be most effective will be studied.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.003 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.002 | 0.002 |
| Science and technology studies | 0.002 | 0.001 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.004 | 0.002 |
| Insufficient payload (model declined to judge) | 0.002 | 0.001 |
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 source (direct Gemma or distilled Codex), 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".