The proposed study will evaluate a clinical algorithm for the diagnosis and treatment of
provoked vestibulodynia (PVD). The algorithm, distinguishes between four subtypes of PVD:
hormonally mediated PVD, hypertonic pelvic floor dysfunction, congenital neuroproliferative
PVD and acquired neuroproliferative PVD, based on a patient's history and physical exam. The
study will follow patients diagnosed with PVD, for one year, and evaluate the treatment
outcome in the different subgroups. Investigators hope that conducting a prospective study,
showing clinical benefit and improved outcome for patients classified according to this
method may change the common practice of "trial and error" based treatment, and will improve
clinical results.