Sex therapists are often challenged when treating women with the primary di
agnosis of vulvodynia or subtypes of vulvar-vestibular pain. This article p
resents an overview of how, a sex therapist can assess problem areas relate
d to this diagnosis and approach treatment in a practical and comprehensive
fashion. What follows is based on anecdotal clinical experience of the aut
hor. It outlines a multimodal approach That ii ich ides cognitive-behaviora
l techniques, both individual and conjoint therapy, as well as close cooper
ation with physicians who provide concurrent medical management.