vulvar vestibulitis

Full Definition

Vulvar vestibulitis, now more commonly termed localized provoked vulvodynia, is a chronic pain condition characterized by burning, stinging, or rawness localized to the vulvar vestibule. The condition is triggered by touch or pressure, commonly causing dyspareunia and difficulty with tampon insertion. Diagnosis is clinical, based on characteristic symptoms and point tenderness on cotton swab testing of the vestibular glands. Treatment is multimodal and may include topical agents, physical therapy, and in severe cases, surgical intervention.

Usage

Usage note: Modern terminology favors 'localized provoked vulvodynia' over 'vulvar vestibulitis.'

In Context

• "Cotton swab testing confirmed vulvar vestibulitis with exquisite tenderness at the vestibular glands." — Physical examination
• "The patient's vulvar vestibulitis was managed with topical lidocaine and pelvic floor physical therapy." — Treatment plan