Methods The proposed study is a prospective, cohort-based study. Patients will be recruited from the clinic for vulvovaginal disorders in Clalit Healthcare services in Jerusalem. The diagnostic procedures, patients' sub-classification and the proposed treatments in the current protocol are identical to those currently used in the clinic. Patients who fulfill diagnostic criteria of PVD and who will be willing to participate in the study will be asked to sign an informed consent and complete self-administered intake questionnaires requesting data about their PVD condition and its severity, various parameters of quality of life (QOL), general health, Ob\Gyn history, sexual function, psychometric characteristics (anxiety, depression etc) and demographics. After completing the questionnaires, each patient will undergo a standard evaluation, and will be diagnosed according to Goldstein's algorithm. Instructions for treatment will be given in regards to the diagnosis. Patients will be instructed to schedule follow-up appointments at 3,6,9, and 12 months. During follow-up appointments they will be assessed in regard to vestibular tenderness using various parameters, as well as by questionnaires of QOL and sexual function.