Vulvodynia is a multifactorial, chronic painful condition that may affect nearly one-third of women at some time during their lives. Although identified as early as the 1800s, little published research exists prior to the late 1970s.

Vulvodynia is difficult to diagnose and currently remains a diagnosis of exclusion. Although there is no cure for vulvodynia, making the appropriate diagnosis and systematically treating the patient with interventions that have shown efficacy are priorities in delivering optimal patient care for this condition. It will only be through continued, multicenter, randomized, prospective, placebo-controlled trials that the etiology (or etiologies) and optimal treatment(s) that are evidenced based and safe will emerge.

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