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CompletedNCT02404961Updated Nov 1, 2019

Women's Health Study: Immunological Factors and Risk of Vulvodynia

An observational study in Vulvodynia, sponsored by University of Minnesota. Completed. Open to female participants aged 18 Years to 40 Years. Per ClinicalTrials.gov, last updated 2019-11-01.

Sponsored by University of Minnesota · Observational

Study type
Observational
Model
Case-control
Time perspective
Cross-sectional
Enrollment
30,675
Ages
18 Years to 40 Years
Sex
Female
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Study summary

The investigators plan to study the etiology of vulvodynia, a condition characterized by chronic vulvar discomfort, most often described as burning pain, occurring in the absence of relevant visible findings or a specific, clinically identifiable, neurologic disorder. Our hypothesis is that vulvodynia is the result of an altered immuno-inflammatory response mechanism that occurs as a consequence of reproductive, gynecologic, environmental, or psychological exposures, with abnormal vaginal microflora and genetic polymorphisms as potential modifiers of the effects of interest. Therefore, the investigators propose to collect information about reproductive, gynecological and environmental exposures, psychological trauma and psychiatric morbidity, and biological markers of immuno-inflammation and nerve fiber proliferation.

Read the detailed description

Women aged 18-40 years who were seen for any reason within a 2-year period at one of the Twin Cities metro-area's Fairview Health Services outpatient clinics will be send a confidential self-administered questionnaire, and given the option to return it by mail, or complete it via phone or via a secure online server. This questionnaire will serve to determine any history of unexplained vulvar pain. Those with a history of past or current vulvar pain likely to represent vulvodynia, will be asked to come to one of four study clinic locations to confirm the diagnosis of vulvodynia. If confirmed, they will be asked to provide venous blood and vulvovaginal specimens. In addition, they will be asked to complete a medical history and psychosocial survey, along with an interviewer-administered Structured Clinical Interview for the Diagnostic and Statistical Manual-IV (SCID-IV). A random sample of women with no history of vulvar pain will be asked to serve as controls. Those confirmed as controls will also be asked to provide the same biological specimens and complete the same questionnaires/interview.

The long-term objective of this research is to provide etiological information that may prove critical to the treatment and prevention of vulvodynia, an under-recognized and extremely debilitating condition that we and others have shown may affect up to 10% of the adult female population.

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Conditions studied

  • Vulvodynia

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In context

Vulvodynia

106 studies on the registry are indexed under Vulvodynia; 21 are open to participants now.

This study's enrollment of 30,675 is above the median of 167 across 24 observational studies indexed under Vulvodynia.

Browse Vulvodynia studies →

Lead sponsor

University of Minnesota is the lead sponsor of 1,184 studies on the registry; 195 are open to participants now.

Of its 132 completed or terminated interventional studies of FDA-regulated products, 91 (69%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years to 40 Years
Sexes eligible
Female
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Women aged 18-40 years who were seen for any reason within a 2-year period at one of the metro-area's Fairview Health Services outpatient clinics

Inclusion criteria

  • Clinically confirmed vulvodynia
  • Women with no history of vulvar discomfort and clinically confirmed as acceptably control.

Exclusion criteria

Exclusion Criteria:

  • Women with vulvar pain attributed to a known cause.
  • Women with any active gynecological yeast, bacterial, or viral infection.
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Study design

Observational model
Case-control
Time perspective
Cross-sectional
Enrollment
30,675 participants (actual)
Patient registry
No
Biospecimen retention
Samples with dna

Groups and cohorts

  • Control (no vulvodynia)

    Clinically-confirmed as a woman with no history of vulvodynia.

    Other: Vulvodynia

  • Vulvodynia Case

    Clinically-confirmed as a woman with vulvodynia.

    Other: Vulvodynia

Interventions

  • OtherVulvodynia

    Comparison of reproductive, gynecological and environmental exposures, psychological trauma and psychiatric morbidity, and biological markers of immuno-inflammation and nerve fiber proliferation between cases and controls to determine potential etiology of vulvodynia.

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What researchers measure

Primary outcomes

  1. Reproductive, gynecological and environmental exposures and their association with vulvodynia & immuno-inflammatory response

    Determine whether reproductive, gynecological and environmental exposures influence the odds of vulvodynia, and whether the effect is associated with immuno-inflammatory response

    Time frame: Baseline

  2. Past psychological trauma and psychiatric morbidity and their association with vulvodynia & immuno-inflammatory response

    Determine whether psychological trauma and psychiatric morbidity influence the odds of vulvodynia and whether the effect is associated with immuno-inflammatory response

    Time frame: 6 month post baseline visit

  3. immuno-inflammation and nerve fiber proliferation and vulvodynia.

    Determine whether markers of immuno-inflammation and nerve fiber proliferation are directly associated with the odds of vulvodynia, and, whether genetic and microbiological markers modify associations, as well as associations evaluated in aims 1 and 2 above.

    Time frame: Baseline

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Study locations

No study locations are listed for this record.

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References and documents

Publications

  • Nguyen RH, Turner RM, Rydell SA, Maclehose RF, Harlow BL. Perceived stereotyping and seeking care for chronic vulvar pain. Pain Med. 2013 Oct;14(10):1461-7. doi: 10.1111/pme.12151. Epub 2013 Jun 6. PubMed 23742116 ↗
  • Nguyen RH, Turner RM, Sieling J, Williams DA, Hodges JS, Harlow BL. Feasibility of collecting vulvar pain variability and its correlates using prospective collection with smartphones. Pain Res Treat. 2014;2014:659863. doi: 10.1155/2014/659863. Epub 2014 Jun 10. PubMed 25006458 ↗
  • Harlow BL, Kunitz CG, Nguyen RH, Rydell SA, Turner RM, MacLehose RF. Prevalence of symptoms consistent with a diagnosis of vulvodynia: population-based estimates from 2 geographic regions. Am J Obstet Gynecol. 2014 Jan;210(1):40.e1-8. doi: 10.1016/j.ajog.2013.09.033. Epub 2013 Sep 28. PubMed 24080300 ↗
  • Nguyen RH, Reese RL, Harlow BL. Differences in pain subtypes between Hispanic and non-Hispanic white women with chronic vulvar pain. J Womens Health (Larchmt). 2015 Feb;24(2):144-50. doi: 10.1089/jwh.2014.4892. Epub 2015 Jan 20. PubMed 25603224 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 1, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02404961
Lead sponsor
University of Minnesota
Collaborators
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
Responsible party
Sponsor
First posted
Apr 1, 2015
Start date
Sep 2009
Primary completion
Dec 2014
Completion
Dec 2014
Last update
Nov 1, 2019

Study contacts

Bernard Harlow, PhD
principal investigator · University of Minnesota

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Oct 2019. You cannot join it, but the record below documents what was studied.

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