Adi Weintraub

Background: Provoked vestibulodynia (PVD) is a chronic pain condition affecting the vulvar vestibule, often triggered by minimal touch or pressure. It is underdiagnosed and poorly understood, leading to significant impacts on women’s quality of life. Objective: This study aims to identify the demographic and clinical characteristics of PVD among women in Israel. Materials and Methods: A cross-sectional study was conducted using an online questionnaire completed by a self-selected sample of adult women. Weighted estimates of vulvodynia prevalence and characteristics were determined. Results: Out of 250 participants, 196 women (78%) met the diagnostic criteria for PVD. High rates of comorbid conditions were observed, including depression (33%), anxiety (43.3%), and other comorbidities (60%). The mean time from first consulting a physician to diagnosis was 2.5 years, with symptoms persisting for an average of 8 years. Physical therapy emerged as the most effective treatment modality. Conclusions: PVD is a challenging condition to diagnose and treat, often leading to significant delays in diagnosis and prolonged suffering. The high prevalence of comorbid conditions underscores the need for comprehensive treatment approaches. Improved diagnostic protocols and more effective treatment options are essential to enhance the quality of life for women with PVD.