Provoked vestibulodynia.
Vulvodynia, or chronic vulvar pain, is a common but poorly understood condition. Affected women report negative impacts in terms of sexual functioning, relationship adjustment, psychological well-being and overall quality of life. Although the etiology of vulvodynia is not well understood, it appears as if different levels of pathophysiology are implicated. Accordingly, therapeutic options are targeted at a variety of mechanisms. Unfortunately, few randomized, controlled trials exist, and few combination therapies have been examined; however, the quality and breadth of the treatment literature is improving. Further studies are needed to more fully investigate the mechanisms involved in the development and maintenance of vulvodynia, and more research in the area of treatment outcome is needed.
Pukall
Caroline F
CF
Queen's University, Humphrey Hall, 62 Arch Street, Kingston, ON, K7L 3N6, Canada. caroline.pukall@queensu.ca.
Smith
Kelly B
KB
Chamberlain
Susan M
SM