Vulvar Disorders

Nov 1, 2020 Issue
Common Benign Chronic Vulvar Disorders [Article]

Common benign chronic vulvar conditions include genitourinary syndrome of menopause (formerly called vulvovaginal atrophy), lichen sclerosus, lichen planus, lichen simplex chronicus, and vulvodynia. Find out which patients can be diagnosed clinically, when to order a biopsy, and how to treat each of these conditions.

Apr 1, 2020 Issue
Probiotics to Augment Antifungal Treatment of Vulvovaginal Candidiasis [FPIN's Clinical Inquiries]

Adding probiotics (typically Lactobacillus species) to antifungal therapy for vulvovaginal candidiasis improves short-term cure rates by 14% and reduces one-month relapse rates by 66%.

Aug 15, 2019 Issue
Secnidazole (Solosec) for Bacterial Vaginosis [STEPS]

Secnidazole is much more expensive than generic metronidazole and other available treatments. However, it is a safe option for women who desire a single-dose treatment or for patients in whom treatment compliance is a concern.

Feb 1, 2008 Issue
Non-Neoplastic Epithelial Disorders of the Vulva [Article]

Lichen sclerosus, lichen planus, and lichen simplex chronicus are three of the most common non-neoplastic epithelial disorders of the vulva. Lichen sclerosus is characterized by intense vulvar itching and can affect men and women of all ages, but it manifests most commonly in postmenopausal women. P...

Apr 15, 2007 Issue
ACOG Guidelines on Vulvodynia [Practice Guidelines]

Vulvodynia is burning, stinging, irritation, or rawness in a normal-appearing vulva. The American College of Obstetricians and Gynecologists (ACOG) has published guidelines on diagnosis and treatment.

Apr 1, 2006 Issue
Vulvodynia: Diagnosis and Management [Article]

The diagnosis of vulvodynia is made after taking a careful history, ruling out infectious or dermatologic abnormalities, and eliciting pain in response to light pressure on the labia, introitus, or hymenal remnants. Several treatment options have been used, although the evidence for many of these tr...

Oct 1, 2002 Issue
Vulvar Cancer [Article]

Vulvar cancer was reported in 3,200 women in 1998, resulting in 800 deaths. Recent evidence suggests that vulvar cancer comprises two separate diseases. The first type may develop from vulvar intraepithelial neoplasia caused by human papillomavirus infection and is increasing in prevalence among you...

Mar 15, 1999 Issue
Vulvodynia and Vulvar Vestibulitis: Challenges in Diagnosis and Management [Article]

Vulvodynia is a problem most family physicians can expect to encounter. It is a syndrome of unexplained vulvar pain, frequently accompanied by physical disabilities, limitation of daily activities, sexual dysfunction and psychologic distress. The patient's vulvar pain usually has an acute onset and,...

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