Vulval pain

Vulval pain is an uncommon and poorly recognized condition, with women often seeking help from several different clinicians before the diagnosis is made. It should be considered within the differential diagnosis in a number of gynaecological presentations, including superficial dyspareunia, apparent persistent/recurrent candidiasis and chronic vulval symptoms such as discomfort and itch. The aetiology is poorly understood, and the approach to treatment is often inconsistent and not based on established, evidence-based practice guidelines. Although most patients recover, there is no doubt that, for some, vulval pain can impact significantly on their quality of life, adversely affecting relationships and activities of daily living. Early diagnosis and a multidisciplinary approach may improve the prospects of recovery.