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    When did the confusion between vulvodynia and vaginismus start
    (Galenos Publishing House, 2024) Vieira-Baptista, Pedro; Saçıntı, Koray Görkem; Preti, Mario; Verstraelen, Hans; Bornstein, Jacob
    Vulvodynia, defined as vulvar pain persisting for at least three months without an identifiable cause, potentially accompanied by associated factors, is common yet remains enigmatic (1). “Vulvodynia” and “vaginismus” are frequently confused by both laypeople and healthcare professionals. Vaginismus is characterized by involuntary spasms of the pelvic floor muscles, which can be primary or secondary; secondary vaginismus may result from vulvodynia. The fifth edition of the Diagnostic and Statistical Manual of Mental Disorders included dyspareunia and vaginismus into the newly created category of “genito-pelvic pain/penetration disorder”, which remains a theoretical concept, lacking scientific validation (2). This change may have increased confusion, potentially denying women the appropriate diagnosis and, consequently, the correct management. It appears that vulvodynia was addressed as early as 1825 BC in ancient Egyptian papyri. Some authors arguably sustain that “satyriasis” (excessive or abnormal sexual desire), described by Soranos (1st century AD) may correspond to vulvodynia. Possible descriptions of vulvodynia can be found in books from Thomas (3), Kellogg (4), and Skene (5), in 1868, 1891, and 1898, respectively. The latter proposed surgical removal of the area of “excessive sensitivity” (5).