Background: Localized vulvar pain (LVP) is a common condition among fertile women, with physical and psychosexual implications. Treatment is complex with limited benefits. Neural therapy is a regulatory therapy that uses injections of local anesthetics in low concentrations in specific points to treat different conditions. Case Presentation: We present the cases of 5 women, ages 33–44 years, with LVP treated with procaine 0.5% injections in painful points. Complete relief from pain occurred in 2 patients, and significant improvement in 3. Only 1 or 2 sessions were required. Initial VAS score was ≥70 and decreased to ≤30 after the intervention. The improvement was maintained over time, with a minimum follow-up period of 6 months. None of the patients were able to have sex or use tampons due to pain, but they were able to resume after the intervention. Conclusions: In this case series, local injections of procaine showed a favorable outcome. Future randomized clinical trials could help elucidate the role of this intervention in LVP.
Complement Med Res

中文翻译：

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神经疗法治疗局部外阴疼痛：病例系列和文献综述

背景：局部外阴疼痛 (LVP) 是生育妇女的常见病症，具有生理和性心理方面的影响。治疗复杂且获益有限。神经疗法是一种调节疗法，它在特定的部位注射低浓度的局麻药来治疗不同的情况。案例介绍：我们介绍了 5 名年龄在 33-44 岁的女性的病例，她们在痛点处注射了 0.5% 普鲁卡因治疗 LVP。2 名患者的疼痛完全缓解，3 名患者的疼痛得到显着改善。仅需要 1 或 2 个疗程。初始VAS评分≥70，干预后降至≤30。随着时间的推移，这种改善得以保持，最短随访期为 6 个月。没有一个患者因疼痛而无法进行性行为或使用卫生棉条，但他们在干预后能够恢复。结论：在这个病例系列中，局部注射普鲁卡因显示出良好的结果。未来的随机临床试验可能有助于阐明这种干预在 LVP 中的作用。
补充医学资源