title: Comfort in discussing vulvar pain in social relationships among women with vulvodynia.
abstract: OBJECTIVE
  To assess women's likelihood of feeling comfortable in discussing vulvar pain.
  
  
  METHODS
  Using a survey of women with self-reported clinician-diagnosed vulvodynia, we assessed the likelihood of comfort in discussing vulvar pain within four types of relationships: husband/partner, mother/sister, best friend, and other women friends. Separate multivariable models were fit for relationship type to determine whether vulvar pain characteristics (length, severity,family history) were associated with likelihood of feeling comfortable in discussing.
  
  
  RESULTS
  A total of 67% of women with a partner were comfortable discussing their vulvar pain with that person, whereas 39% were comfortable with family and 26% were comfortable with women friends. Independent of age, the more years women had vulvodynia the less likely they would be comfortable discussing it. Compared to lower levels of vulvar pain, increasing levels (mild, moderate and severe) were associated with greater comfort in discussing their pain with friends; women were 10% more likely to be comfortable with each increase in pain level, and 12% more likely to be comfortable with other women friends.
  
  
  CONCLUSIONS
  Our data suggest that vulvar pain characteristics may determine how comfortable a woman is to discuss her vulvar pain, but it varies by relationship type.
authors.affiliation: Division of Epidemiology and Community Health, School of Public Health, University of Minnesota, 1300 South 2nd Street, Suite 300, Minneapolis, MN 55454, USA. nguyen@umn.edu
authors.forename: Ruby H N
authors.initials: RH
authors.lastname: Nguyen
authors.forename: Richard F
authors.initials: RF
authors.lastname: MacLehose
authors.forename: Christin
authors.initials: C
authors.lastname: Veasley
authors.forename: Rachael M
authors.initials: RM
authors.lastname: Turner
authors.forename: Bernard L
authors.initials: BL
authors.lastname: Harlow
authors.forename: Keith J
authors.initials: KJ
authors.lastname: Horvath
mesh_terms: D000328:Adult; D005260:Female; D033062:Friends; D006801:Humans; D008875:Middle Aged; D012720:Severity of Illness Index; D012747:Sexual Partners; D012944:Social Support; D056650:Vulvodynia / Q000523:psychology*; D055815:Young Adult