The purpose of this classification is to differentiate vulvar pain conditions based on the etiology of the pain and to describe its characterization.
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PERSISTENT VULVAR PAIN AND VULVODYNIA
2015 Consensus terminology and classification of persistent vulvar pain and vulvodynia
In 2015, the ISSVD, International Society for the Study of Women’s Sexual Health (ISSWSH), and the International Pelvic Pain Society (IPPS) adopted a new vulvar pain and vulvodynia terminology that acknowledges the complexity of the clinical presentation and pathophysiology involved in vulvar pain and vulvodynia, and incorporates new information derived from evidence-based studies conducted since the last terminology published in 2003.
A. Vulvar pain caused by a specific disorder*
B. Vulvodynia – Vulvar pain of at least 3 months’ duration, without clear identifiable cause, which may have potential associated factors
*Women may have both a specific disorder (e.g. lichen sclerosus) and vulvodynia
Appendix: Potential factors associated with Vulvodynia*
Co-morbidities and other pain syndromes (e.g. painful bladder syndrome, fibromyalgia, irritable bowel syndrome, temporomandibular disorder) [Level of evidence 2]
*The factors are ranked by alphabetical order
Bornstein J, Goldstein AT, Stockdale C, Bergeron S, Pukall C, Zolnoun D, Coady D. On behalf of the consensus vulvar pain terminology committee and 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). 2015 ISSVD, ISSWSH and IPPS Consensus terminology and classification of persistent vulvar pain and vulvodynia.
In press: J Low Gen Tract Dis, co-publication: Obstet Gynecol; J Sex Med.