Managing vulvar vestibulitis

Vulvar vestibulitis, a type of vulvodynia, affects many American women. Patients typically present with a history of intermittent or continuous, localized, vulvar pain and frequently can't tolerate sexual intercourse. Here, review the etiology, history and physical examination, and comprehensive treatment of vulvar vestibulitis, including nonpharmacologic, pharmacologic, psychosocial, and surgical measures.