Any history of infections or skin problems, and how they were treated, needs to be considered. Testing may include vaginal cultures and colposcopy, and biopsy may also be needed. Treating vulvodynia is difficult, and some women need a combination of treatments. One of the most important steps is to take special care of the vulva. That means keeping it clean and dry and avoiding tight-fitting underwear or pants.
Stockings are preferable to pantyhose, because they help keep the vulva dry.
Don't use any perfumed soaps, scented toilet paper, or pads or tampons that are scented or contain deodorant. Don't use any feminine hygiene products like powders, sprays or douches. And always use lubricated condoms with sex. Diet also plays a key role. Certain foods or supplements can make symptoms worse by changing the urine which then irritates the vulva.