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2013 Vulvodynia Guideline Update

Stockdale, Colleen K. MD, MS1; Lawson, Herschel W. MD2

Journal of Lower Genital Tract Disease: April 2014 - Volume 18 - Issue 2 - p 93–100
doi: 10.1097/LGT.0000000000000021

Vulvodynia is a complex disorder that can be difficult to treat. Most patients describe it as burning, stinging, irritation, or rawness. Vulvodynia is a costly disease both economically and on its negative impact on patient quality of life. Although many treatment options are available, no one treatment is effective for all patients, thus the need to individualize management. Measures such as gentle vulvar care, medication, biofeedback training, physical therapy, sexual counseling and surgery, as well as complementary and alternative therapies are available to treat the condition with varying success.

We present the state of the science and provide guidance based largely on expert opinion to assist the patient and practitioner in dealing with vulvodynia.

1University of Iowa Hospital and Clinics, Iowa City, IA; and 2Emory University School of Medicine, Atlanta, GA

Address correspondence to: Colleen K. Stockdale, MD, MS, Department of Obstetrics & Gynecology, University of Iowa, 200 Hawkins Dr, Iowa City, IA 52242. E-mail:

The authors have declared they have no conflicts of interest.

Copyright © 2014 by the American Society for Colposcopy and Cervical Pathology