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Clinical Reviews, Roundtables  Vulvar pain syndromes: Making the
correct diagnosis  Many cases of generalized vulvodynia and
localized vulvodynia (vestibulodynia) are mistakenly attributed
to yeast infection, pudendal neuralgia, and other entities.
Avoid those pitfalls by using a reliable roadmap for evaluation,
differentiation, and identification of the various forms of
vulvar pain.  September 2011 · Vol. 23, No. 9   Although the
incidence of vulvar pain has increased over the past
decade—thanks to both greater awareness and increasing numbers
of affected women—the phenomenon is not a recent development. As
early as 1874, T. Galliard Thomas wrote, “[T]his disorder,
although fortunately not very frequent, is by no means very
rare.”1 He went on to express “surprise” that it had not been
“more generally and fully described.”  Despite the focus Thomas
directed to the issue, vulvar pain did not get much attention
until the 21st century, when a number of st