Definition

The most recent classification of vulvar pain, agreed upon at the 2003 Congress of the International Society for the Study of Vulvovaginal Disease (ISSVD), consists of two major categories:185 (1) vulvar pain related to a specific disorder: a) infection, b) inflammation, c) neoplasm, d) neurologic disease or (2) vulvodynia: vulvar discomfort usually described as burning pain occurring in the absence of a specific disorder. Vulvodynia is called "generalized", involving the entire vulva, or "localized," involving a portion or component of the vulva (e.g. vestibule, clitoris, hemivulva). It may be termed "provoked," i.e. by sexual and/or nonsexual contact or "unprovoked," i.e. spontaneous or "mixed" (provoked and unprovoked). Common causes of vulvodynia include those described below.

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