Vulvodynia in prepubertal girls: diagnosis.

A diagnosis ofvulvodynia needs to be considered in the absence of vulva pathology with wide range of vulvar pain, pruritus and discomfort.All persistent or recurrent vulvar discomfort must be taken into consideration as a vulvodynia symptom, also various non-specific, worrisome complaints. Comorbid urological and gastrological symptoms associated with overactive pelvic muscles should not be overlooked. Chronic pain can be triggered by the psychological distress in some prepubertal girls. Proper diagnosis may prevent long-term negative sequelae, what emphasizes the need for professional education of healthcare providers in adolescent vulvar pain and discomfort.