These key learning points summarize the consensus- and evidence-based recommendations included in this edition. Thee sources listed here for each statement recommend that physicians perform or implement these actions directly in a clinical setting.

1. Recommend pelvic floor physical therapy and cognitive behavior therapy as first-line treatments for vulvodynia.
Evidence rating: SORT B
Sources: Section One, references 11, 19, 20, 21, and 22
Websites: https://obgyn.onlinelibrary.wiley.com/doi/10.1002/ijgo.14815
https://www.nature.com/articles/s41572-020-0164-2
https://www.dovepress.com/etiology-diagnosis-and-clinical-management-of-vulvodynia-peer-reviewed-fulltext-article-IJWH
https://www.frontiersin.org/journals/cellular-and-infection-microbiology/articles/10.3389/fcimb.2021.678961/full
https://onlinelibrary.wiley.com/doi/10.1111/jmwh.13456

2. Screen for syphilis in all sexually active individuals ages 15 to 44 years living in communities with high syphilis rates, defined as a county rate of primary and secondary syphilis among women greater than 4.6 cases/100,000 population.
Evidence rating: SORT B
Sources: Section Two, references 5 and 10.
Websites: https://www.acog.org/news/news-releases/2024/04/acog-recommends-obstetrician-gynecologists-increase-syphilis-screening-for-pregnant-individuals
https://www.cdc.gov/mmwr/volumes/72/wr/mm7246e1.htm?s_cid=mm7246e1_w