Provoked Vulvodynia: A Holistic Treatment Approach

• Provoked vulvodynia (PVD) is a disorder characterized by intense vulvar pain.
• Provider awareness is lacking regarding accurate diagnosis and treatment of PVD.
• PVD has devastating personal and relational consequences.
• Addressing psychological factors is an important aspect of PVD treatment.
• Cognitive behavioral therapy and mindfulness are noninvasive and efficacious long-term treatment approaches.

Provoked vulvodynia (PVD) is a disorder characterized by intense vulvar pain, most often reported as raw, burning, or stinging tissue. Current treatment options for PVD are insufficient and narrow in focus, as they predominantly address the physical pain associated with the disorder. Current publications regarding cognitive behavioral therapy and mindfulness treatment indicate that both therapies are highly effective. Mindfulness and cognitive behavioral therapies are noninvasive, efficacious long term, and provide a comprehensive biopsychosocial approach. The aim of this study is to educate nurse practitioners regarding these treatment options, which manage the physical as well as psychosocial aspects of PVD.