title: Vulvar pain, sexual behavior and genital infections in a young population: a pilot study.
abstract: BACKGROUND
  To study the prevalence of pain during intercourse in a young population and analyze factors that may be associated with vulvar pain.
  
  
  METHODS
  During a 2-month period, 172 women (aged 12-26 years) consulting four different adolescent health centres in Stockholm, Sweden, responded to a questionnaire concerning sexual habits, history of infections, and genital symptoms a priori vulvar pain. Multiple logistic regression model was used to evaluate the independent effects of the variables associated with vulvar pain.
  
  
  RESULTS
  One-third of the women reported regular pain during and/or after intercourse. Having regular sexual intercourse before the age of 16 years and using oral contraception for more than 2 years were independent variables increasing the risk of vulvar pain. There was a correlation trend between vulvar pain and lack of sexual desire, recurrent candida infections, and urinary tract infections. However, there was no correlation to sexually transmitted diseases. More than 4 years of regular intercourse and coitus at least 4 times a week were factors that inversely correlated to vulvar pain.
  
  
  CONCLUSIONS
  One-third of young women answering a questionnaire at adolescent health centres reported regular pain during and/or after intercourse. Early regular coitus and long-time use of oral contraceptives were factors associated with vulvar pain. Frequently rubbing a vulnerable mucosa may result in irreversible damage and vulvar vestibulitis syndrome.
authors.affiliation: Centre for Gerontology and Health Economics, Division of Obstetrics and Gynecology, Karolinska Institutet, Danderyd Hospital, Stockholm, Sweden. Anna-Lena.Berglund@Neurotec.ki.se
authors.forename: Anna-Lena
authors.initials: AL
authors.lastname: Berglund
authors.forename: Linda
authors.initials: L
authors.lastname: Nigaard
authors.forename: Eva
authors.initials: E
authors.lastname: Rylander
mesh_terms: D000293:Adolescent; D016497:Adolescent Health Services / Q000706:statistics & numerical data; D000328:Adult; D002648:Child; D003075:Coitus; D005260:Female; D006801:Humans; D016015:Logistic Models; D010146:Pain / Q000453:epidemiology*; D010865:Pilot Projects; D012725:Sexual Behavior / Q000706:statistics & numerical data*; D012749:Sexually Transmitted Diseases / Q000453:epidemiology*; D011795:Surveys and Questionnaires; D013548:Sweden / Q000453:epidemiology; D014845:Vulvar Diseases / Q000453:epidemiology*