A 32-year-old woman presents to the GP with a 1-year history of non-cyclical vulval pain, worsened by sitting for prolonged periods. She describes the...

Question

A 32-year-old woman presents to the GP with a 1-year history of non-cyclical vulval pain, worsened by sitting for prolonged periods. She describes the pain as deep and aching, radiating to the inner thighs. It is not provoked by touch. Vulval examination is normal. STI screen and biopsy are normal. MRI pelvis is unremarkable. Which is the most likely diagnosis?

Accepted Answer

Pudendal neuralgia

Answer

Provoked vestibulodynia

Answer

Lichen sclerosus

Answer

Vulvovaginal candidiasis

Answer

Pelvic inflammatory disease

uk-drcog MCQ (SBA): Pudendal Neuralgia