\n•\tVagina (Vulva, Vestibule, and Clitoris)
\no\tPain in the vagina or the external genital organs (vulva, which includes the labia, clitoris and entrance to the vagina) (2)
\n•\tGeneralized vulvar pain syndrome (4)
\no\tDiffuse vulvar pain perceived to be in the vestibule or beyond.
\no\tProvocation of pain with touch, pressure or friction (3,5)
\n•\tLocalized vulvar pain syndrome: Pain is usually provoked with touch, pressure, or friction; example: tight clothing, bicycle riding, tampon use, sexual activity (4)
\no\tVestibular pain syndrome: Pain localized to one or more portions of the vulvar vestibule (3,5)
Derived from Standardisation of Terminology of LUT function (6)
\n•\tVulval pain is felt in and around the external genitalia.
\n•\tVulval pain syndrome is the occurrence of persistent or recurrent episodic vulval pain, which is either related to the micturition cycle or associated with symptoms suggestive of urinary tract or sexual dysfunction. There is no proven infection or other obvious pathology. (The ICS suggests that the term vulvodynia (vulva – pain) should not be used, as it leads to confusion between single symptom and a syndrome).
\nDerived from Haylen et al (2010) (7)
\n•\tVulval pain: Complaint of pain felt in and around the vulva (6)
1983: Vulvodynia was defined by the International Society for the Study of Vulvar Disease (ISSVD) as chronic vulvar discomfort, especially characterized by the patient´s complaint of burning, stinging, irritation and/or rawness (3)\n
1987: Friedrich reported 86 patients with consistent vulvar signs and symptoms and subsequently introduced the term “vulvar vestibulitis syndrome” as the standard term and description for this disorder (8)\n
2015: The Consensus terminology and classification of persistent vulvar pain from the from the International Society for the Study of Vulvovaginal Disease (ISSVD), the International Society for the Study of Women's Sexual Health (ISSWSH), and the International Pelvic Pain Society (IPPS) defined and classified vulvar pain as: “Vulvar pain of at least 3 months duration, without clear identifiable cause, which may have potential associated factors Localized (e.g. vestibulodynia, clitorodynia) or Generalized or Mixed (Localized and Generalized)” (3).\n
\n•\tProvoked (e.g. insertional, contact) or Spontaneous or Mixed (Provoked and
\n•\tOnset (primary or secondary)
\n•\tTemporal pattern (intermittent, persistent, constant, immediate, delayed)
Despite the introduction of the term vulval pain (syndrome) some years ago, both professional and patient organisations continue to use the traditional term vulvodynia even though it is not recommended by the latest ICS Standardization of terms.\n