Vulvodynia management

Vulval pain is a common problem encountered in many clinical settings involving women’s health. Many women with vulval pain will have no apparent cause and a diagnosis of vulvodynia should be considered. Vulvodynia is defined as vulval discomfort, most often described as burning pain occurring in the absence of relevant visible findings, or a specific, clinically identifiable neurologic disorder. Before vulvodynia is diagnosed patients presenting with vulval pain need a careful history and clinical examination to avoid missing subtle relevant dermatological conditions of the vulva. Women with vulvodynia form a diverse group with different levels of symptoms, experiences and expectations of treatment. Clinicians not familiar with assessment and management with vulvodynia should refer onto secondary level care or specialist clinics. When making a diagnosis of vulvodynia clinicians should identify subtypes of vulvodynia and explore the key treatment needs of each patient. Based on current evidence, the prognosis for many women with vulvodynia is hopeful if an early diagnosis can be made and correct, individualized treatment given.