Personalizing Vulvar Pain Therapy: When to Consider Compounded Medications
Introduction: The Challenge of Treating Vulvar Pain Vulvar pain disorders—such as vulvodynia, vestibulodynia, and lichen sclerosus—present unique challenges in clinical practice. These conditions often have multifactorial etiologies, ranging from neuropathic pain to hormonal atrophy, inflammation, and pelvic floor dysfunction. Standard therapies may help some patients but fall short for others due to side effects, intolerance to excipients, or the need for multi-targeted treatment. This is where compounded medications offer value—not as replacements for standard care,