ABSTRACT
Vulvodynia is the medical term used to describe vulval pain. It is not a new condition, having been described over 100 years ago. It is a common symptom with many causes. While the majority of cases are not life-threatening, there can be life-ruining consequences, with women frequently suffering for many years. All too often it is assumed that the pain is caused by candidiasis. In general, vulval pain can be divided into four categories:
1. microbial (see page 79) 2. vulvar vestibulitis (see page 80) 3. dysaesthetic vulvodynia (see page 81) 4. others (see page 82)
The importance of a thorough history cannot be over-emphasized, as physical abnormalities are often absent. In addition to the vulva, examination should include the mouth and non-genital skin.
