Vulvovaginal Symptoms Questionnaire (VSQ): Difference between revisions

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== Objective  ==
== Objective  ==
The Vulvovaginal Symptoms Questionnaire (VSQ) is a 21-item written questionnaire used in medical and research settings for assessment and evaluation of symptoms related to the vulva and vagina in women. It consists of a series of questions designed to assess various vulvovaginal symptoms and their impact on a woman's life, these questions cover symptoms such as itching, burning, pain, discharge, and discomfort in the vulva and vagina, as well as questions about emotions, life-impact, and sexual impact to help for  better understanding and managing conditions affecting the female genital area<ref>Erekson EA, Yip SO, Wedderburn TS, Martin DK, Li FY, Choi JN, Kenton KS, Fried TR. T[https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3695224/#:~:text=The%20VSQ%20is%20a%2021,%2Dimpact%2C%20and%20sexual%20impact. he VSQ: a questionnaire to measure vulvovaginal symptoms in postmenopausal women.] Menopause (New York, NY). 2013 Sep;20(9):973.</ref>.
The Vulvovaginal Symptoms Questionnaire (VSQ) is a 21-item written questionnaire used in medical and research settings for assessment and evaluation of symptoms related to the vulva and vagina in women. It consists of a series of questions designed to assess various vulvovaginal symptoms and their impact on a woman's life, these questions cover symptoms such as itching, burning, pain, discharge, and discomfort in the vulva and vagina, as well as questions about emotions, life-impact, and sexual impact to help for  better understanding and managing conditions affecting the female genital area<ref name=":0">Erekson EA, Yip SO, Wedderburn TS, Martin DK, Li FY, Choi JN, Kenton KS, Fried TR. T[https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3695224/#:~:text=The%20VSQ%20is%20a%2021,%2Dimpact%2C%20and%20sexual%20impact. he VSQ: a questionnaire to measure vulvovaginal symptoms in postmenopausal women.] Menopause (New York, NY). 2013 Sep;20(9):973.</ref>.


VSQ is used to gather comprehensive informations about the severity, frequency, and duration of the symptoms and with their impact on sexual function, daily activities, and emotional well-being.
VSQ is used to gather comprehensive informations about the severity, frequency, and duration of the symptoms and with their impact on sexual function, daily activities, and emotional well-being.
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== Method of Use  ==
== Method of Use  ==
The Vulvovaginal Symptoms Questionnaire (VSQ) consists of 21 items, the answer for each item will be yes or no, all women will have to answer scale for their symptoms in the last week, the first 17 question will be answered by each woman, but the last 4 questions will be answered by just who is sexually active. The items are as following<ref name=":0" />:   


== Reference<br> ==
'''Symptoms'''
 
# vulva itching?
# Do you feel vulva burning or stinging?
# Are you experiencing vulva pain?
# Is your vulva irritated?
# Do you have vulva dryness?
# Are you experiencing any discharge from your vulva or vagina?
# Do you notice any odor from your vulva or vagina? '''Emotions'''
# Do you worry about your vulvar symptoms? (For example, that it will spread, get worse, scar, etc).
# How do you feel about the appearance of your vulva?
# Do you feel frustrated about your vulvar symptoms?
# Are you embarrassed about your vulvar symptoms?
# How have your vulvar symptoms affected your interactions with others?
# Do your vulvar symptoms affect your desire to be with people? '''Life- impact'''
# Have your vulvar symptoms made it hard to show affection?
# How do your vulvar symptoms affect your daily activities?
# Do your vulvar symptoms affect your desire to be intimate?
# Are you currently sexually active with a partner? If No→ Thank you. You are done with this questionnaire.                  Yes→ Please proceed with the next 4 questions '''Sexual-impact'''
 
# How have your vulvar symptoms affected your sexual relationships?
# Do your vulvar symptoms cause pain during sexual activity?
# Do your vulvar symptoms cause dryness during sexual activity?
# Do your vulvar symptoms cause bleeding during sexual activity?


== Evidence  ==
== Evidence  ==
The VSQ's validity was assessed by comparing it to other validated gynecologic questionnaires and physical exam findings since there is no established gold-standard for vulvovaginal symptom measurement. There were a fair correlations found between the VSQ and questionnaires for other gynecologic diseases (PFDI-20 and PFIQ-7) and for sexual function in pelvic floor disorders (PISQ-12). However, a low correlation was observed between the VSQ and the FSFI.
=== Correlation ===
ICC values were 0.75, 0.60, 0.55, and 0.65,  for symptoms, emotions, life impact, sexual impact respectively<ref name=":0" />.


=== Reliability  ===
=== Reliability  ===
VSQ demonstrated moderate reliability with value greater than 0.41<ref name=":0" />.


=== Validity  ===
=== Validity  ===
VSQ demonstrated a construct validity with moderate correlation around (0.41 to 0.45) with the [[Pelvic Floor Distress Inventory (PFDI - 20)|PFDI-20]] and [[Pelvic Floor Impact Questionnaire (PFIQ - 7)|PFIQ-7 questionnaires]].


=== Responsiveness  ===
=== Responsiveness  ===

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Objective[edit | edit source]

The Vulvovaginal Symptoms Questionnaire (VSQ) is a 21-item written questionnaire used in medical and research settings for assessment and evaluation of symptoms related to the vulva and vagina in women. It consists of a series of questions designed to assess various vulvovaginal symptoms and their impact on a woman's life, these questions cover symptoms such as itching, burning, pain, discharge, and discomfort in the vulva and vagina, as well as questions about emotions, life-impact, and sexual impact to help for better understanding and managing conditions affecting the female genital area[1].

VSQ is used to gather comprehensive informations about the severity, frequency, and duration of the symptoms and with their impact on sexual function, daily activities, and emotional well-being.

Intended Population[edit | edit source]

The questionnaire is used for women with various gynecological conditions, such as; vulvovaginal candidiasis (vaginal yeast infection), bacterial vaginosis, vulvodynia (chronic vulvar pain), vaginal atrophy, and other inflammatory or infectious conditions (vulvar dermatitis or lichen sclerosus).

Method of Use[edit | edit source]

The Vulvovaginal Symptoms Questionnaire (VSQ) consists of 21 items, the answer for each item will be yes or no, all women will have to answer scale for their symptoms in the last week, the first 17 question will be answered by each woman, but the last 4 questions will be answered by just who is sexually active. The items are as following[1]:

Symptoms

  1. vulva itching?
  2. Do you feel vulva burning or stinging?
  3. Are you experiencing vulva pain?
  4. Is your vulva irritated?
  5. Do you have vulva dryness?
  6. Are you experiencing any discharge from your vulva or vagina?
  7. Do you notice any odor from your vulva or vagina? Emotions
  8. Do you worry about your vulvar symptoms? (For example, that it will spread, get worse, scar, etc).
  9. How do you feel about the appearance of your vulva?
  10. Do you feel frustrated about your vulvar symptoms?
  11. Are you embarrassed about your vulvar symptoms?
  12. How have your vulvar symptoms affected your interactions with others?
  13. Do your vulvar symptoms affect your desire to be with people? Life- impact
  14. Have your vulvar symptoms made it hard to show affection?
  15. How do your vulvar symptoms affect your daily activities?
  16. Do your vulvar symptoms affect your desire to be intimate?
  17. Are you currently sexually active with a partner? If No→ Thank you. You are done with this questionnaire.                  Yes→ Please proceed with the next 4 questions Sexual-impact
  1. How have your vulvar symptoms affected your sexual relationships?
  2. Do your vulvar symptoms cause pain during sexual activity?
  3. Do your vulvar symptoms cause dryness during sexual activity?
  4. Do your vulvar symptoms cause bleeding during sexual activity?

Evidence[edit | edit source]

The VSQ's validity was assessed by comparing it to other validated gynecologic questionnaires and physical exam findings since there is no established gold-standard for vulvovaginal symptom measurement. There were a fair correlations found between the VSQ and questionnaires for other gynecologic diseases (PFDI-20 and PFIQ-7) and for sexual function in pelvic floor disorders (PISQ-12). However, a low correlation was observed between the VSQ and the FSFI.

Correlation[edit | edit source]

ICC values were 0.75, 0.60, 0.55, and 0.65, for symptoms, emotions, life impact, sexual impact respectively[1].

Reliability[edit | edit source]

VSQ demonstrated moderate reliability with value greater than 0.41[1].

Validity[edit | edit source]

VSQ demonstrated a construct validity with moderate correlation around (0.41 to 0.45) with the PFDI-20 and PFIQ-7 questionnaires.

Responsiveness[edit | edit source]

Miscellaneous
[edit | edit source]

Links[edit | edit source]

References[edit | edit source]

  1. 1.0 1.1 1.2 1.3 Erekson EA, Yip SO, Wedderburn TS, Martin DK, Li FY, Choi JN, Kenton KS, Fried TR. The VSQ: a questionnaire to measure vulvovaginal symptoms in postmenopausal women. Menopause (New York, NY). 2013 Sep;20(9):973.