Vulvodynia has many possible treatments, but very few controlled trials have been performed to verify efficacy of these treatments. Provided are guidelines based largely on expert opinion to assist the patient and practitioner in dealing with this condition.

After surgery for lichen planus, women tend to be more likely to have intercourse, to have less urinary symptoms or infections, and to have fewer genital symptoms. However, for some, sexual difficulties persisted. It may be wise to consider sexual counseling for this population. Nevertheless, most of the patients stated that they were happy with the surgery and would recommend it to others.

Women with newly diagnosed vulvodynia report substantial impact of vulvar pain but feel little control over symptoms. Sexual desire and sexual satisfaction are low. Most of the respondents would consider counseling to help address these issues.

Vulvar pain can occur in women of any age. It is defined as pain located on the vulva for a minimum duration of 3 months. The condition can last for many years. The terminology of vulvar pain was revised in 2015. 1 It is categorized into two sets: (1) vulvar pain caused by a specific disorder, and (2) vulvodynia, consisting of vulvar pain of at least 3 months duration without an identifiable cause.