title: Localised provoked vestibulodynia (vulvodynia): assessment and management.
abstract: BACKGROUND
  Vulvodynia is a chronic vulvar pain condition. Localised provoked vestibulodynia (LPV) is the most common subset of vulvodynia, the hallmark symptom being pain on vaginal penetration. Young women are predominantly affected. LPV is a hidden condition that often results in distress and shame, is frequently unrecognised, and women usually see a number of health professionals before being diagnosed, which adds to their distress and confusion.
  
  
  OBJECTIVE
  The aim of this article is to inform health providers about the assessment and management of LPV.
  
  
  CONCLUSIONS
  Diagnosis is based on history. Examination is used to support the diagnosis. Management is multidisciplinary and includes psychological, physical and pharmacological therapies. With appropriate intervention, most women can expect significant reduction in pain and improved quality of life.
authors.affiliation: MBBS, FAChSHM, Sexual Health Physician, Melbourne Sexual Health Centre, Carlton, VIC, and Action Centre, Family Planning Victoria, Melbourne, VIC.
authors.forename: Helen
authors.initials: H
authors.lastname: Henzell
authors.forename: Karen
authors.initials: K
authors.lastname: Berzins
mesh_terms: D000293:Adolescent; D000328:Adult; D059350:Chronic Pain / Q000175:diagnosis / Q000209:etiology / Q000523:psychology / Q000628:therapy; D005260:Female; D006801:Humans; D008487:Medical History Taking; D008875:Middle Aged; D010808:Physical Examination / Q000379:methods; D011788:Quality of Life; D056650:Vulvodynia / Q000175:diagnosis* / Q000209:etiology / Q000523:psychology / Q000628:therapy*