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VGH Multidisciplinary Vulvodinia Program Referral Form by Dr. John Robertson is licensed under a Creative Commons Attribution-ShareAlike 3.0 Unported License.
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This version of the form has THE SECOND PAGE DISPLAYED FIRST to allow for drawing
The Multidisciplinary Vulvodynia Program (MVP) contributes to the health and well-being of women living with provoked vestibulodynia (PVD) and their partners through consultation, assessment, and management of genital pain symptoms. The participation in the MVProgram is only offered to women who are suffering from provoked vestibulodynia - introital pain associated with touch only. Typically, these are women who only have pain with sexual intercourse, they do not have daily vulvar and or vaginal discomfort or any other significant pain condition, and the physical examination is “normal” other than the ability to reproduce the pain when palpating the vestibule.
Women ages 19-60 with a diagnosis of PVD confirmed upon assessment by one of the MVP gynaecologists may be offered enrolment in one of our structured multidisciplinary treatment programs.
Referrals to the MVP are for an assessment only.
The Multidisciplinary Vulvodynia Program (MVP) contributes to the health and well-being of women living with provoked vestibulodynia (PVD) and their partners through consultation, assessment, and management of genital pain symptoms. The participation in the MVProgram is only offered to women who are suffering from provoked vestibulodynia - introital pain associated with touch only. Typically, these are women who only have pain with sexual intercourse, they do not have daily vulvar and or vaginal discomfort or any other significant pain condition, and the physical examination is “normal” other than the ability to reproduce the pain when palpating the vestibule.
Women ages 19-60 with a diagnosis of PVD confirmed upon assessment by one of the MVP gynaecologists may be offered enrolment in one of our structured multidisciplinary treatment programs.
Referrals to the MVP are for an assessment only.