Benign Vulvar Nodules Or Tumors

In most cases, excision of solid lesions is diagnostic as well as therapeutic. Pigmented vulvar lesions include lentigo and nevi. Approximately 2 to 5 of melanomas, but only 0.1 of nevi, are located on the vulva, leading theories that vulvar nevi are at increased risk for malignant transformation (43). As such, detection and careful evaluation of vulvar nevi are critical. The benign lesions of seborrheic keratosis do not require treatment. However, excision can be performed at the patient's...

Diseases That Cause Vulvar Pain Vulvar Vestibulitis

Vulvar Vestibule Healthy

Vulvar pain was documented as early as 1888, by Dr. Alexander J.C. Skene in his textbook Treatise on the Disease of Women, in which he identified hyperesthesia of the vulva (21). Vulvar vestibulitis syndrome (VVS) was first described by Woodruff and Parmley in 1983 (22). The criteria for the diagnosis were described by Eduard Friedrich in 1987. His three subjective and objective criteria are (23) 1. Severe pain on vestibular touch or attempted vaginal entry 2. Tenderness to pressure localized...

Contact Dermatitis of the Vulva

Healing Vaginal Contact Dermatitis

Contact dermatitis of the vulva is an inflammatory condition that can occur at any time during a woman's life in response to primary exposure to an irritant or from an allergic response to an irritant. Contact dermatitis also can occur secondary to another condition, such as a vaginal yeast infection or urinary and or fecal incontinence. Common causes of irritative contact dermatitis of the vulva include laundry detergent, fabric softeners, body soaps, perfumes, hygienic wipes, and douches. In...

Changes in the Vulva and Vagina Throughout Life

Vulva Puberty

Feminine Care Clinical Sciences, The Procter & Gamble Company, Cincinnati, Ohio, U.S.A. Department of Dermatology, University of California School of Medicine, San Francisco, California, U.S.A. Aikaterini Deliveliotou and George Creatsas Second Department of Obstetrics & Gynecology, University of Athens Medical School, Aretaieion Hospital, Athens, Greece The vulva and vagina change over the course of life. The most salient changes are hormonally mediated and are linked to the onset of...

Candida Torulopsis glabrata

Torulopsis

C. (Torulopsis) glabrata is a vaginal yeast infection that causes vulvar burning. Typically, women describe constant vulvar burning without an associated increase in vaginal discharge. Usually, these women have seen multiple providers and tried many over-the-counter as well as prescription medications without relief. On vulvar examination, the genitalia can appear normal or there can be generalized erythema. Microscopic evaluation of the vaginal discharge may be normal or numerous budding...

Perineal Hygiene Among Older Women

Genital hygiene is of particular importance to the health and well being of older women. The consequences of inadequate hygiene vary. Mild skin irritation and fungal or bacterial skin infections become more common in older people who have a diminished capacity to care for themselves. Atrophic vulvovaginitis is prevalent after menopause. Moreover, the risk of pressure ulcers and incontinence dermatitis can be significant when older women suffer impaired mobility and urinary or fecal...

Anatomical Structure Of The Vulva

The vulva consists of the mons pubis, the labia majora and minora, the clitoris, and the vestibule of the vagina. The external urethral orifice is situated in the vestibule, as are the ducts of the mucus-secreting paraurethral and Bartholin's glands. The mons pubis and the outer aspects of the labia majora are covered with hairy skin that is similar to that of the scalp and axillae. The labia majora contain numerous sebaceous glands, along with apocrine glands and eccrine sweat Table 1...

Tissue Structure and Physiology of the Vulva

Estructura Vulva

Feminine Care Clinical Sciences, The Procter & Gamble Company, Cincinnati, Ohio, U.S.A. Department of Dermatology, University of California School of Medicine, San Francisco, California, U.S.A. The vulva is composed of specialized tissue with regional differences in embryonic derivation, structure, and morphology. The vulva comprises the mons pubis, the labia majora and minora, the clitoris, the vulvar vestibule surrounding the urethral orifice and vaginal introitus, and the hymen, a...

Autoimmune Progesterone Dermatitis

Autoimmune progesterone dermatitis (APD) is a rare skin disorder that is marked by relapsing cyclic eruptions during the luteal phase of the menstrual cycle when the serum progesterone level increases (40). Pathogenetically, an autoallergic reaction to endogenous progesterone is involved in APD, which can be demonstrated by a positive intracutaneous test reaction to progesterone. An allergic genesis of the skin disorder is also corroborated by a positive basophilic degranulation test following...

Cyclic Vulvovaginitis Candida Vaginitis Pruritus Vulvae

Cyclic vulvovaginitis is marked by pain during certain cycle phases (luteal phase, perimenstrual phase), although the local findings are in most cases nonpatholo-gic. In the final analysis, the genesis is again unclear, although the hypothesis of a hypersensitive reaction to Candida albicans is advanced frequently (32). There have long been indications that the incidence of Candida vaginitis is hormone dependent (2,33). Thus, a Candida infection is observed more frequently in pregnant women...

Characteristics Of Normal Vaginal Discharge

In 1959, investigators examined a group of 113 New York City women, an unknown number of whom showed evidence of cervical or vaginal infection (19). The researchers quantified the discharge by swabbing the entire vagina during the course of an examination and measuring the weight change in the swab. The mean vaginal discharge was 0.76 g for all patients, 1.0 g for women with vaginal infection, and 0.50 g for women who had douched the day before the examination. The mean weight of vaginal...

Acne Vulgaris and Rosacea

A high percentage of women with acne vulgaris experience a premenstrual exacerbation. The figures in the literature vary between 27 and 70 (16,17). A study of 400 acne patients found a premenstrual exacerbation in 44 of the cases. Women older than 33 years of age appear to be affected more frequently than younger women between 20 and 33 years of age (18). A comparison of acne lesions in the late follicular phase and the luteal phase found that in the premenstrual phase, 63 of the women studied...