Treatment depends on the underlying cause.[1] Vulvar pain is common.[1] Long term pain of unclear cause affects about 22% of women at some point in time and the related symptom pain with sex occurs in 10% to 20% of women.[1] The condition has been described in some detail since at least 1874 by Gailliard Thomas.[1] Women may be hesitant to bring the condition up with their healthcare provider and some have providers have dismissed the problem as "psychological".[1]