Vulvodynia: a modern perspective on the problem

Abstract

Vulvodynia is a chronic persistent pain syndrome that affects the vulvar area and lasts more than 3 months without a clearly identifiable cause. Provoked localized pain in the vulval vestibule is the most prevalent type of vulvodynia and is interpreted as dysfunctional pain. Peripheral and central sensitization contribute to the onset and persistence of vulvodynia. Chronic pain predictably causes significant issues for a woman's psychological, sexual and physical health. The diagnosis of vulvodynia includes an assessment of all the factors associated with pain. Successful treatment of vulvodynia goes beyond identifying one trigger and prescribing one type of treatment. Patient-centered interdisciplinary approach is the most promising, including psychotherapy, lifestyle changes, drug therapy.

Keywords

• vulvodynia
• chronic pelvic pain