title: Responses to the McGill Pain Questionnaire predict neuropathic pain medication use in women in with vulvar lichen sclerosus.
abstract: OBJECTIVE
  The goal of this study was to test the hypothesis that responses to the McGill Pain Questionnaire are predictive of adjunctive neuropathic pain medication use by women with lichen sclerosus (LS).
  
  
  METHODS
  This is a retrospective chart review of 430 women with vulvar LS treated at a tertiary referral vulvar care clinic. Demographics, responses to the McGill Pain Questionnaire, and use of neuropathic pain medications were collected. Bivariate and multivariable logistic regression analyses were performed to identify factors significantly associated with use of neuropathic pain medications.
  
  
  RESULTS
  Of the 430 subjects, 119 (27.7%) used neuropathic pain medications for vulvar pain. Factors significantly associated with use of these medications include lower body mass index (odds ratio [OR] = 0.96, p = .02), non-White race (OR = 2.97, p = .05), and total McGill Pain Questionnaire score (OR = 1.05, p < .001).
  
  
  CONCLUSIONS
  Vulvar pain is a common presenting symptom in women with LS. Responses to the McGill Pain Questionnaire may be helpful in the long-term management of women with LS as a screen to identify those patients who might benefit from adjunctive neuropathic pain medication use.
authors.affiliation: 1Pelvic Floor Research Group and 2University of Michigan Center for Vulvar Diseases, Department of Obstetrics and Gynecology, University of Michigan Health System, Ann Arbor, MI.
authors.forename: Mitchell B
authors.initials: MB
authors.lastname: Berger
authors.forename: Nicholas J
authors.initials: NJ
authors.lastname: Damico
authors.forename: Hope K
authors.initials: HK
authors.lastname: Haefner
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000700:Analgesics / Q000627:therapeutic use*; D005260:Female; D006801:Humans; D008875:Middle Aged; D009437:Neuralgia / Q000175:diagnosis* / Q000188:drug therapy; D010147:Pain Measurement; D012189:Retrospective Studies; D062606:Tertiary Care Centers; D007724:Vulvar Lichen Sclerosus / Q000150:complications* / Q000473:pathology*; D055815:Young Adult
chemical_list: D000700:Analgesics