This document summarizes various causes of vaginal itching and discharge and their treatments. It discusses yeast, bacterial vaginosis, trichomoniasis, contact dermatitis, pubic lice, HPV, and several types of vulvar dystrophy as potential causes. Topical and oral antifungal agents are recommended for treating yeast. Flagyl, clindamycin, or amoxicillin can treat bacterial vaginosis. Flagyl is used to treat trichomoniasis. Further evaluation including wet mounts, cultures or biopsies may be needed to diagnose other conditions.
Pruritus vulvae and vulval pain are very common complaints and most women initially self medicate. Although it is often selflimiting, chronic vulval pruritus suggests an underlying vulval dermatosis.
Careful and systemic examination is fundamental to making a diagnosis.
Skin biopsies are not always necessary but are essential if VIN or invasive disease is suspected or if the condition does not respond to treatment.
General care of vulval skin is a fundamental component of treatment.Avoidance of potential irritants will benefit most conditions.
The mainstay of the management of lichen sclerosus is topical ultrapotent steroids. Women require clear advice on the appropriate treatment regimes.
Women with VIN require a biopsy to confirm disease.Longterm surveillance is necessary, particularly when a medical or conservative approach to management is taken.
All gynaecological trainees require experience in the management of common skin disorders, but a specialist service improves care for women by improving the accuracy of diagnosis and the implementation of adequate and appropriate treatment.
Pruritus vulvae and vulval pain are very common complaints and most women initially self medicate. Although it is often selflimiting, chronic vulval pruritus suggests an underlying vulval dermatosis.
Careful and systemic examination is fundamental to making a diagnosis.
Skin biopsies are not always necessary but are essential if VIN or invasive disease is suspected or if the condition does not respond to treatment.
General care of vulval skin is a fundamental component of treatment.Avoidance of potential irritants will benefit most conditions.
The mainstay of the management of lichen sclerosus is topical ultrapotent steroids. Women require clear advice on the appropriate treatment regimes.
Women with VIN require a biopsy to confirm disease.Longterm surveillance is necessary, particularly when a medical or conservative approach to management is taken.
All gynaecological trainees require experience in the management of common skin disorders, but a specialist service improves care for women by improving the accuracy of diagnosis and the implementation of adequate and appropriate treatment.
Hirsutism _ excesive terminal hair growth in the women on a male pattern distribution-face, body(sexual hear,androgendependent)-common in PCOS
Hypertricosis_ can involve of vellus, lanugo, nonpigmanted hair and terminal hear occupying the entire body surface including the face ( androgen independent disorder)- congenital, caused by drugs, hypothyroidism, anorexia nervosa
Virilization _ production of androgens in women is extremely high (presence of clitoromegaly,alopecia- balding, deepening of the voice- bariphonia, male body habitus)-usually caused by androgen producing tumors, CAH
Acne _ du to hyperceratosis and occlusion of duct of sebaceum gland plus inflammation( multifactoral, androgendependent)
Acanthosis nigricans _ skin grey- brown ,velvety appearance mainly in the neck, axillae,vulva and groin (local hyperpigmentation of skin on specific area-marker of hyperinsulinemia/insulinresistance)
Hirsutism _ excesive terminal hair growth in the women on a male pattern distribution-face, body(sexual hear,androgendependent)-common in PCOS
Hypertricosis_ can involve of vellus, lanugo, nonpigmanted hair and terminal hear occupying the entire body surface including the face ( androgen independent disorder)- congenital, caused by drugs, hypothyroidism, anorexia nervosa
Virilization _ production of androgens in women is extremely high (presence of clitoromegaly,alopecia- balding, deepening of the voice- bariphonia, male body habitus)-usually caused by androgen producing tumors, CAH
Acne _ du to hyperceratosis and occlusion of duct of sebaceum gland plus inflammation( multifactoral, androgendependent)
Acanthosis nigricans _ skin grey- brown ,velvety appearance mainly in the neck, axillae,vulva and groin (local hyperpigmentation of skin on specific area-marker of hyperinsulinemia/insulinresistance)
STUDY INDICATES PAIN REDUCTION ASSOCIATED WITH VULVAR LICHEN SCLEROSUS Neogyn, Inc.
Vulvar Lichen Sclerosus is an inflammatory condition of the vulva, which manifests in itching and burning, with either thickened or thinned skin. Traditionally treated with ultra high-potency steroid creams, these topical prescriptions are not intended for long-term use due to health risks.
NEOGYN Vulvar Soothing Cream, now available, can be used as adjunctive care to steroid treatments and part of a successful, longstanding regimen to minimize recurrence and maintain vulvar comfort.
NEOGYN Vulvar Soothing Cream is a non-medicated soothing cream ideal for use in combination with other Lichen Sclerosus therapies. A clinical study recently demonstrated a significant improvement in itching, burning and pain reduction after using NEOGYN Vulvar Soothing Cream twice daily for three months. Conducted by Dr. Andrew Goldstein, a leading authority on Lichen Sclerosus and vulvar diseases, the 30 subject, placebo controlled study suggests that adjunctive care such as NEOGYN provides a new option both with steroids and in-between steroid treatments.
NeoGyn Vulvar Soothing Cream is a cosmetic product, not a medication.
Dr. Goldstein is the author of numerous medical textbooks on Vulvodnia, as well as When Sex Hurts, a woman’s guide to banishing sexual pain.
Dr. Goldstein is also the Director of the Center for Vulvovaginal disorders in Washington D.C. and New York City.
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