Q-tip test:The vestibule should be evaluated carefully with the Q-tip test after separating the labia minora.The vestibule should be palpated with a cotton tipped applicator around the face of the vestibular clock.

Vulvalgesiometer: Developed by Caroline Pukall and colleagues at McGill University for reliable pain ratings. This helps in the diagnosis, classification and understanding of vulvar pain conditions.

Vulvar Algesiometer: contains a hand held probe that includes a metal thrust probe in a plastic casing sleeve. This algesiometer measures vestibular tenderness for each area of the vestibule and the total for that visit is recorded on a vulvar map. The readings on the algesiometer will be compared before and after treatment.

(6) Pukall CF, Payne KA, Binik YM, Khalife S. Pain measurement in vulvodynia. Journal of Sex and Marital Therapy. 29 Suppl 1:111-20,2003.

(7) Curnow JS, Barron I, Morrison G., et al. Vulval algesiometer. Med Biol Eng Comput 1996;34:266-9.