Valvar pain is grouped into two types, that due to a specific cause and long term pain of unknown cause, known as vulvodynia.[2] Specific causes include infections such as yeast infections and herpes simplex, inflammatory disorders such as lichen planus and lichen sclerosus, tumors such as Paget disease and squamous cell carcinoma, neurological problems such as postherpetic neuralgia, injury such as from surgery, childbirth, radiation, and female genital mutilation, and hormonal disorders such as genitourinary syndrome of menopause and lactational amenorrhea.[2]