Superficial vulvar pain may result from provoked vestibulodynia, genitourinary syndrome of menopause, dermatologic disorders (eg, lichen sclerosus, vulvar dystrophies), congenital malformations, genital herpes simplex, vaginitis, Bartholin gland abscess, radiation fibrosis, postsurgical introital narrowing, or recurrent tearing of the posterior fourchette.