Page last updated: 2024-10-28

lidocaine and Dyspareunia

lidocaine has been researched along with Dyspareunia in 10 studies

Lidocaine: A local anesthetic and cardiac depressant used as an antiarrhythmia agent. Its actions are more intense and its effects more prolonged than those of PROCAINE but its duration of action is shorter than that of BUPIVACAINE or PRILOCAINE.
lidocaine : The monocarboxylic acid amide resulting from the formal condensation of N,N-diethylglycine with 2,6-dimethylaniline.

Dyspareunia: Recurrent genital pain occurring during, before, or after SEXUAL INTERCOURSE in either the male or the female.

Research Excerpts

ExcerptRelevanceReference
"To test the dyspareunia response of patients with interstitial cystitis/painful bladder syndrome treated with an intravesical therapeutic solution of lidocaine, heparin, and sodium bicarbonate."7.74Dyspareunia response in patients with interstitial cystitis treated with intravesical lidocaine, bicarbonate, and heparin. ( Teichman, JM; Welk, BK, 2008)
"In a randomized, controlled, double-blind trial, estrogen-deficient breast cancer survivors with severe penetrative dyspareunia applied either saline or 4% aqueous lidocaine to the vulvar vestibule for 3 minutes before vaginal penetration."5.20A Practical Solution for Dyspareunia in Breast Cancer Survivors: A Randomized Controlled Trial. ( Caughey, AB; Goetsch, MF; Lim, JY, 2015)
"Postmenopausal survivors of breast cancer with moderate and severe dyspareunia were recruited for an examination including randomization to a double-blind intervention using topical aqueous 4% lidocaine or normal saline for 3 minutes to the areas found to be tender."5.19Locating pain in breast cancer survivors experiencing dyspareunia: a randomized controlled trial. ( Caughey, AB; Goetsch, MF; Lim, JY, 2014)
"To test the dyspareunia response of patients with interstitial cystitis/painful bladder syndrome treated with an intravesical therapeutic solution of lidocaine, heparin, and sodium bicarbonate."3.74Dyspareunia response in patients with interstitial cystitis treated with intravesical lidocaine, bicarbonate, and heparin. ( Teichman, JM; Welk, BK, 2008)

Research

Studies (10)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's1 (10.00)18.2507
2000's3 (30.00)29.6817
2010's5 (50.00)24.3611
2020's1 (10.00)2.80

Authors

AuthorsStudies
Crean-Tate, KK1
Faubion, SS1
Pederson, HJ1
Vencill, JA1
Batur, P1
Pérez-López, FR1
Bueno-Notivol, J1
Hernandez, AV1
Vieira-Baptista, P1
Preti, M1
Bornstein, J1
Goetsch, MF2
Lim, JY2
Caughey, AB2
Bezjak, A1
Ferguson, SE1
Mcbride, D1
Zolnoun, DA1
Hartmann, KE1
Steege, JF1
Danielsson, I1
Torstensson, T1
Brodda-Jansen, G1
Bohm-Starke, N1
Welk, BK1
Teichman, JM1
Hassel, B1

Clinical Trials (4)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Sinecatechins Ointment, a Botanical Drug Derived From Green Tea, for the Treatment of Significant to Severe Secondary Provoked Vestibulodynia in Sexually Active, Post-Menopausal Women With Vulvovaginal Atrophy[NCT03682601]Phase 232 participants (Actual)Interventional2018-08-30Terminated (stopped due to pandemic)
The Improvement Of Pelvic Exams for Patients With Chronic Vulvovaginal Conditions[NCT03393910]200 participants (Actual)Interventional2018-01-22Completed
Therapy to Prevent Sexual Pain in Menopausal Survivors of Breast Cancer[NCT01539317]Phase 350 participants (Actual)Interventional2011-12-31Completed
Effect of Intravesical Lidocaine on Urodynamic and Symptomatic Parameters of Interstitial Cystitis[NCT00823030]0 participants (Actual)Interventional2009-01-31Withdrawn
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Numerical Rating Scale for Pain

"Scale Title: Numerical Pain Scale to measure overall pain perceived from vulvar vestibule.~Minimum value of scale: 0; Maximum value of scale: 10. Subjects were asked to rate from 0 to 10 pain perceived from their vulvar vestibule.~The mean (standard error) for Numerical Pain Scale at each visit was calculated. A higher Numerical Rating Score means worse outcome and lower Numerical Rating Score means a better outcome. The following Numerical Rating Scale categories for Pain definition were utilized: 0=no pain, 1-3=mild pain, 4-6=moderate pain; 7-9=significant pain and 10=severe pain." (NCT03682601)
Timeframe: Numerical Rating Scale for pain was assessed at Visit 1 (initial visit); Visit 2 (at 2 weeks), and Visit 3 (at 4 weeks).

,,
Interventionscore on a scale from 0 to 10. (Mean)
Visit 1 Numerical Rating Scale for painVisit 2 Numerical Rating Scale for painVisit 3 Numerical Rating Scale for pain
10% Topical Sinecatechins Ointment8.36.32.1
5% Topical Sinecatechins Ointment7.64.02.4
Placebo8.66.45.9

Q-tip Test Test for Pain on the Vulvar Vestibule

"Scale Title: Q-tip test of vulvar vestibular pain. Minimum value of scale: 0; Maximum value of scale: 10. Subjects were asked to rate from 0 to 10 pain perceived from their vulvar vestibule.~The mean (standard error) for Q-tip test at each visit was calculated. A higher Q-tip score means worse outcome and lower Numerical Rating Score means a better outcome. The following Q-tip test categories for Pain definition were utilized: 0=no pain, 1-3=mild pain, 4-6=moderate pain; 7-9=significant pain and 10=severe pain." (NCT03682601)
Timeframe: Q-tip test score for pain was assessed at Visit 1 (initial visit); Visit 2 (at 2 weeks), and Visit 3 (at 4 weeks).

,,
Interventionscore on a scale from 0 to 10. (Mean)
Visit 1 Q-tip test scoreVisit 2 Q-tip test scoreVisit 3 Q-tip test score
10% Topical Sinecatechins Ointment7.75.81.9
5% Topical Sinecatechins Ointment8.24.82.9
Placebo7.86.05.1

Improvement of Quality of Sexual Life - Visit 1

To determine whether women's quality of sexual life is improved by use of this local therapy to prevent pain with intercourse. Measured by average scores on the Sexual Function Questionnaire. There are 8 domains measured in the Sexual Function Questionnaire each asking for a score for the prior 30 days: Desire (score range 5-31; ≥23 considered normal function), Arousal-sensation (score range 4-20; ≥14 considered normal function), Arousal-lubrication (score ranges 2-10; ≥8 considered normal function), Arousal-cognitive (score range 2-10; ≥8 considered normal function), Orgasm (score range 1-15; ≥12 considered normal function), Pain (2-15; ≥12 considered normal function), Enjoyment (score range 6-30; ≥23 considered normal function) and Partner (score range 2-10; ≥8 considered normal function). (NCT01539317)
Timeframe: Visit 1 (Enrollment)

,
Interventionunits on a scale (Mean)
DesireArousal SensationArousal LubricationArousal CognitiveOrgasmPainEnjoymentPartner
Topical Liquid Lidocaine13.879.152.974.827.626.2917.018.13
Topical Saline11.918.443.924.285.706.0415.307.78

Improvement of Quality of Sexual Life - Visit 2

To determine whether women's quality of sexual life is improved by use of this local therapy to prevent pain with intercourse. Measured by averaged scores on the Sexual Function Questionnaire. There are 8 domains measured in the Sexual Function Questionnaire each asking for a score for the prior 30 days: Desire (score range 5-31; ≥23 considered normal function), Arousal-sensation (score range 4-20; ≥14 considered normal function), Arousal-lubrication (score ranges 2-10; ≥8 considered normal function), Arousal-cognitive (score range 2-10; ≥8 considered normal function), Orgasm (score range 1-15; ≥12 considered normal function), Pain (2-15; ≥12 considered normal function), Enjoyment (score range 6-30; ≥23 considered normal function) and Partner (score range 2-10; ≥8 considered normal function). (NCT01539317)
Timeframe: Visit 2 (Week 4)

,
InterventionUnits on a scale (Mean)
DesireArousal SensationArousal LubricationArousal CognitiveOrgasmPainEnjoymentPartner
Topical Liquid Lidocaine16.0911.214.185.999.0510.5019.368.68
Topical Saline148.143.594.695.077.9616.98.62

Improvement of Quality of Sexual Life - Visit 3

To determine whether women's quality of sexual life is improved by use of this local therapy to prevent pain with intercourse. Measured by average scores on the Sexual Function Questionnaire. There are 8 domains measured in the Sexual Function Questionnaire each asking for a score for the prior 30 days: Desire (score range 5-31; ≥23 considered normal function), Arousal-sensation (score range 4-20; ≥14 considered normal function), Arousal-lubrication (score ranges 2-10; ≥8 considered normal function), Arousal-cognitive (score range 2-10; ≥8 considered normal function), Orgasm (score range 1-15; ≥12 considered normal function), Pain (2-15; ≥12 considered normal function), Enjoyment (score range 6-30; ≥23 considered normal function) and Partner (score range 2-10; ≥8 considered normal function). (NCT01539317)
Timeframe: Visit 3 (End of Study)

,
InterventionUnits on a scale (Mean)
DesireArousal SensationArousal LubricationArousal CognitiveOrgasmPainEnjoymentPartner
Topical Liquid Lidocaine18.3213.155.27.059.511.6722.519.36
Topical Saline17.7910.894.795.746.9511.1820.908.95

Location of Pain in Postmenopausal Dyspareunia

"To determine the specific site of vulvovaginal tenderness in menopausal breast cancer survivors who have entry dyspareunia. Examine the vulvar vestibule with a swab test to determine locations and severity of touch tenderness. Eight sites were evaluated around the vaginal opening and there location was in reference to a clock face. Measured using the Numerical Rating Scale, a scale which measures pain from 0 to 10 with 0=no pain and 10=the worst pain you have ever felt." (NCT01539317)
Timeframe: Enrollment visit

,
Interventionunits on a scale from 0 to 10 (Median)
1 o'clock11 o'clock12 o'clock3 o'clock4 o'clock8 o'clock9 o'clock6 o'clock
Topical Liquid Lidocaine00000000
Topical Saline00134452

Prevention of Entry Dyspareunia With Non-hormonal Therapy

"Mean intercourse pain reported by subjects using the Numerical Rating Scale pain ratings (range 0-10, 0 being no pain and 10 being worst possible pain). Testing was during weeks 0-4 (Phase II) (with blinded randomization for placebo vs active intervention medication) and testing was during weeks 5-12 (Phase III) (with open-label active medication for 8 weeks after completing the blinded 4 weeks). Subjects agreed to try penetration twice per week and score their pain using the Numerical Rating Scale pain ratings.The scores were averaged during each phase." (NCT01539317)
Timeframe: During Phase II (0-4 weeks) and during Phase III (5-12 weeks)

,,
InterventionUnits on a scale (Mean)
Phase IIPhase III
Open LabelNA0.48
Topical Liquid Lidocaine1.040.45
Topical Saline5.30.57

Reviews

2 reviews available for lidocaine and Dyspareunia

ArticleYear
Management of genitourinary syndrome of menopause in female cancer patients: a focus on vaginal hormonal therapy.
    American journal of obstetrics and gynecology, 2020, Volume: 222, Issue:2

    Topics: Administration, Intravaginal; Anesthetics, Local; Breast Neoplasms; Cancer Survivors; Dyspareunia; D

2020
Systematic review and meta-analysis of the effects of treatment modalities for vestibulodynia in women.
    The European journal of contraception & reproductive health care : the official journal of the European Society of Contraception, 2019, Volume: 24, Issue:5

    Topics: Administration, Intravaginal; Administration, Oral; Adult; Anesthetics, Local; Desipramine; Dyspareu

2019

Trials

4 trials available for lidocaine and Dyspareunia

ArticleYear
Locating pain in breast cancer survivors experiencing dyspareunia: a randomized controlled trial.
    Obstetrics and gynecology, 2014, Volume: 123, Issue:6

    Topics: Adult; Aged; Aged, 80 and over; Anesthetics, Local; Breast Neoplasms; Double-Blind Method; Dyspareun

2014
Locating pain in breast cancer survivors experiencing dyspareunia: a randomized controlled trial.
    Obstetrics and gynecology, 2014, Volume: 123, Issue:6

    Topics: Adult; Aged; Aged, 80 and over; Anesthetics, Local; Breast Neoplasms; Double-Blind Method; Dyspareun

2014
Locating pain in breast cancer survivors experiencing dyspareunia: a randomized controlled trial.
    Obstetrics and gynecology, 2014, Volume: 123, Issue:6

    Topics: Adult; Aged; Aged, 80 and over; Anesthetics, Local; Breast Neoplasms; Double-Blind Method; Dyspareun

2014
Locating pain in breast cancer survivors experiencing dyspareunia: a randomized controlled trial.
    Obstetrics and gynecology, 2014, Volume: 123, Issue:6

    Topics: Adult; Aged; Aged, 80 and over; Anesthetics, Local; Breast Neoplasms; Double-Blind Method; Dyspareun

2014
Locating pain in breast cancer survivors experiencing dyspareunia: a randomized controlled trial.
    Obstetrics and gynecology, 2014, Volume: 123, Issue:6

    Topics: Adult; Aged; Aged, 80 and over; Anesthetics, Local; Breast Neoplasms; Double-Blind Method; Dyspareun

2014
Locating pain in breast cancer survivors experiencing dyspareunia: a randomized controlled trial.
    Obstetrics and gynecology, 2014, Volume: 123, Issue:6

    Topics: Adult; Aged; Aged, 80 and over; Anesthetics, Local; Breast Neoplasms; Double-Blind Method; Dyspareun

2014
Locating pain in breast cancer survivors experiencing dyspareunia: a randomized controlled trial.
    Obstetrics and gynecology, 2014, Volume: 123, Issue:6

    Topics: Adult; Aged; Aged, 80 and over; Anesthetics, Local; Breast Neoplasms; Double-Blind Method; Dyspareun

2014
Locating pain in breast cancer survivors experiencing dyspareunia: a randomized controlled trial.
    Obstetrics and gynecology, 2014, Volume: 123, Issue:6

    Topics: Adult; Aged; Aged, 80 and over; Anesthetics, Local; Breast Neoplasms; Double-Blind Method; Dyspareun

2014
Locating pain in breast cancer survivors experiencing dyspareunia: a randomized controlled trial.
    Obstetrics and gynecology, 2014, Volume: 123, Issue:6

    Topics: Adult; Aged; Aged, 80 and over; Anesthetics, Local; Breast Neoplasms; Double-Blind Method; Dyspareun

2014
A Practical Solution for Dyspareunia in Breast Cancer Survivors: A Randomized Controlled Trial.
    Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2015, Oct-20, Volume: 33, Issue:30

    Topics: Anesthetics, Local; Breast Neoplasms; Double-Blind Method; Dyspareunia; Estrogens; Female; Humans; L

2015
Overnight 5% lidocaine ointment for treatment of vulvar vestibulitis.
    Obstetrics and gynecology, 2003, Volume: 102, Issue:1

    Topics: Administration, Topical; Adult; Cohort Studies; Confidence Intervals; Drug Administration Schedule;

2003
EMG biofeedback versus topical lidocaine gel: a randomized study for the treatment of women with vulvar vestibulitis.
    Acta obstetricia et gynecologica Scandinavica, 2006, Volume: 85, Issue:11

    Topics: Adaptation, Psychological; Administration, Topical; Adolescent; Adult; Anesthetics, Local; Biofeedba

2006

Other Studies

4 other studies available for lidocaine and Dyspareunia

ArticleYear
Sex: Taboos, Assumptions, and Evidence.
    Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2015, Oct-20, Volume: 33, Issue:30

    Topics: Anesthetics, Local; Breast Neoplasms; Dyspareunia; Female; Humans; Lidocaine

2015
Lidocaine Reduces Pain During Sexual Intercourse for Breast Cancer Survivors.
    ONS connect, 2016, Volume: 31, Issue:2

    Topics: Anesthetics, Local; Breast Neoplasms; Clinical Trials as Topic; Dyspareunia; Female; Humans; Lidocai

2016
Dyspareunia response in patients with interstitial cystitis treated with intravesical lidocaine, bicarbonate, and heparin.
    Urology, 2008, Volume: 71, Issue:1

    Topics: Administration, Intravesical; Adult; Comorbidity; Cystitis, Interstitial; Drug Therapy, Combination;

2008
Resolution of primary vaginismus and introital hyperesthesia by topical anesthesia.
    Anesthesia and analgesia, 1997, Volume: 85, Issue:6

    Topics: Adolescent; Anesthetics, Local; Dyspareunia; Female; Humans; Lidocaine; Sexual Dysfunctions, Psychol

1997