Vulvar Itching and Pain Without Skin Pathology: Is Vulvodynia the Diagnosis?

Vulvar itching and pain are common dermatologic complaints that affect individuals of all ages. The diagnosis of vulvodynia should be considered in children and adolescents with vulvar symptoms in the absence of skin pathology and negative workup for other diagnoses. Vulvodynia is defined as vulvar pain that has been present for at least 3 months without an identifiable cause with potential associated factors. Here, we report two cases of adolescents with vulvar itching and pain who presented to the multidisciplinary vulvar dermatology clinic and review the diagnostic approach and treatment options for vulvodynia.