II. Epidemiology

  1. Perimenopausal or postmenopausal women

III. Symptoms

  1. Chronic diffuse vulvar burning or Pruritus
  2. Less severe than Localized Vulvar Dysesthesia
    1. Less Dyspareunia
    2. Less point tenderness
  3. Urethral or Rectal discomfort
  4. Chronic Low Back Pain may be related

IV. Signs

  1. Generalized dysesthesia
  2. Concurrent dermatitis suggests other diagnosis
    1. See Vulvodynia for differential diagnosis

V. Associated conditions

  1. Urethral Syndrome
  2. Pudendal neuralgia (Pudendal canal syndrome)

VI. Management

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