Last reviewed:October 2019
Last updated:May  2019

Summary

Differentials

Common

  • Vaginitis and vulvovaginitis
  • Herpes simplex infection
  • Vaginal atrophy
  • Iatrogenic
  • Primary inadequate lubrication
  • Vestibulodynia/vulvodynia
  • Endometriosis
  • Adenomyosis
  • Leiomyomas

Uncommon

  • Interstitial cystitis
  • Urinary tract infections, female
  • Bartholin gland abscess
  • Seminal plasma hypersensitivity
  • Dermatitis, contact
  • Dermatitis, atopic
  • Bartholin gland mass
  • Imperforate hymen
  • Traumatic perineal injuries
  • Vulvar dystrophies
  • Vaginismus
  • Psychosexual disorder
  • Cervicitis
  • Pelvic inflammatory disease
  • Hydrosalpinx
  • Levator ani spasm

Contributors

Professor

Head of Department of Gynecological Endocrinology and Reproductive Medicine

University Hospital Hamburg-Eppendorf

Hamburg

Germany

Disclosures

KJB declares that he has no competing interests.

Dr Buhling would like to gratefully acknowledge Dr Hans-Joachim Ahrendt, Dr Suketu M. Mansuria and Dr Amy N. Broach, the previous contributors to this topic. SMM declares that he has no competing interests.

Peer reviewersVIEW ALL

Assistant Professor

Department of Obstetrics and Gynecology

University of British Columbia

Vancouver

Canada

Disclosures

LAB declares that she has no competing interests.

Clinical Instructor

Magee-Womens Hospital

University of Pittsburgh

Pittsburgh

PA

Disclosures

KEB declares that she has no competing interests.

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