关键词: 外阴痛, 前庭痛, 病因, 诊断, 治疗

Abstract: The most recent terminology of vulvar pain by the International Society for the Study of Vulvovaginal Disease（ISSVD） defines vulvodynia as "vulvar discomfort， most often described as burning pain， occurring in the absence of relevant visible findings or a specific， clinically identifiable， neurologic disorder." The classification of vulvodynia is based on the site of the pain， whether it is generalized or localized， and whether it is provoked， unprovoked， or mixed. The etiology and pathogenesis of this condition is complex and epidemiology remains elusive. An accurate diagnosis is exclusive and requires a comprehensive history， physical examination and targeted diagnostic tests. excluding diseases with definite causes , such as infections, inflammations,tumor and neurological dysfunction. Treatments described include general vulvar care， topical medications， oral medications， injectables， biofeedback and physical therapy， psychological and sexual counseling and surgery. Although many treatment options have been utilized， a rational therapeutic strategy is still under research.

Key words: Vulvodynia, Vestibulodynia, Etiology, Diagnosis, Treatment