Page last updated: 2024-10-28

lidocaine and Vulvar Vestibulitis

lidocaine has been researched along with Vulvar Vestibulitis in 3 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.

Vulvar Vestibulitis: Inflammation of the vulvar vestibular region at the entrance of the VAGINA, generally involving surface mucosa and submucosal vestibular glands. It is characterized by ERYTHEMA and chronic recurrent pain in this area.

Research Excerpts

ExcerptRelevanceReference
"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)
"Between 2008 and 2016, 16 women presented with constant genital pain that was partly or fully extinguishable with topical vestibular lidocaine, and their pain slowly responded to prolonged vestibule-directed estradiol therapy."5.05Severe Postmenopausal Genital Pain Treated Successfully With Prolonged Estrogen Therapy: A Case Series and Narrative Review. ( Goetsch, MF, 2020)

Research

Studies (3)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's0 (0.00)29.6817
2010's2 (66.67)24.3611
2020's1 (33.33)2.80

Authors

AuthorsStudies
Goetsch, MF2
Lim, JY1
Caughey, AB1
Romanzi, L1

Clinical Trials (3)

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
[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

1 review available for lidocaine and Vulvar Vestibulitis

ArticleYear
Severe Postmenopausal Genital Pain Treated Successfully With Prolonged Estrogen Therapy: A Case Series and Narrative Review.
    Journal of lower genital tract disease, 2020, Volume: 24, Issue:4

    Topics: Aged; Aged, 80 and over; Anesthetics, Local; Drug Therapy, Combination; Estradiol; Estrogens; Female

2020

Trials

1 trial available for lidocaine and Vulvar Vestibulitis

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

Other Studies

1 other study available for lidocaine and Vulvar Vestibulitis

ArticleYear
Techniques of pudendal nerve block.
    The journal of sexual medicine, 2010, Volume: 7, Issue:5

    Topics: Adrenal Cortex Hormones; Anal Canal; Anesthetics, Local; Clitoris; Female; Genitalia, Female; Humans

2010