vulva Disorders

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By Dr Ananya Mandal, MD There are Several disorders of the female reproductive system. Some of These are confined to the external female reproductive organs like the vulva. Gynaecologists Deal with the diagnosis and treatment of the diseases and disorders Associated With the female reproductive organs. Most women need to Have Regular examination of Their vulva by self or by a gynecologist to detect any abnormalities. There are Several disorders That May lead to abnormalities in appearance of the vulva. These are classified as: Causes of rashes, eruptions and plaques over the vulva: Contact dermatitis – These are allergic reactions That May be Caused due to dyed or perfumed toilet tissues, underwear, soaps, detergents, fabric softeners, talcum powder, hygiene sprays, spermicidal foams, creams, tablets, diaphragms etc. vulvar eczema Infection due to Candida and yeast, jock itch etc. Lichen simplex chronicus – Leads to symmetric, pigmentation, leathery, or coarse texture Lichen sclerosus – Leads to plae patches and loss of elasticity


Lichen planus Psoriasis – There are pink plaques Causes of ulcers in the vulva Vulvar cancer – squamous cell Of Including types, basal cell carcinoma and melanoma With Infections Herpes simplex, Epstein-Barr virus Behcet’s, cicatricial pemphigoid ulcers aphthous ulcers Pyoderma gangrenosum, anorectal ulcers, Crohn’s ulcers Ulcers due to Syphilis, lymphogranuloma venereum, chancroid, donovonosis Ulcers due to trauma or decubitus ulcers and friction called traumatic ulcers Pemphigus vulgaris and Pemphigoid (mucous membrane pemphigoid, cicratricial pemphigoid, bullous pemphigoid) Causes of lumps, cysts, nodules Tumours and over the vulva – epidermal cysts

Condyloma acuminatum due to infectious, molluscum contagiosum Swelling of Apocrine and eccrine gland Including hidradenoma, Fox-Fordyce, syringoma Swelling of the epidermal inclusion cyst Keratinocytes Including, angiokeratoma, seborrheic keratosis Swelling after trauma – posttraumatic hematoma Swellings of mesenchymal origin Including – lipoma, leiomyoma, fi joke, granular cell myoblastoma Which swellings and lumps are embryological remnants Including mucocele, mesonepthic duct cyst, Bartholin cyst, Canal of Nuck cyst of. Other conditions include congenital septate vagina, imperforate hymen, hermaphroditism etc. Other minor facial swellings Including adenoma, hemangioma and vulvar varicosities Causes of blemishes moles Freckles Scars, Lentigos Tattoos

vitiligo patches hypertrophy Causes of vulvodynia or vulval pain Vulvular vulvodynia and vestibulitis vaginismus Reviewed by April Cashin-Garbutt, BA Hons (Cantab) Further Reading