Benign inflammatory vulval dermatoses: diagnostic approach and management strategies

Published:March 13, 2023DOI:


      Vulval dermatoses present with distressing symptoms, alongside sensitive psychological and psychosexual issues. There is an incorrect belief amongst a subset of patients and also clinicians that most genital symptoms result from infections. The diagnosis and management of skin diseases is broadly applicable to genital disorders as well. Normal anatomical variants can often be confused with pathological changes and clinical findings may be subtle. Thus, it is vital to examine patients early, to recognize salient features of common dermatoses and avoid empirical treatments based on symptoms alone. Greater patient involvement in understanding of their own condition, alongside individualized treatment regimens help ensure compliance and improve the patient's physical and emotional well-being. This review outlines the general principles on how to approach benign inflammatory dermatoses including genital lichen sclerosus, lichen planus, eczema and psoriasis, and their management strategies.


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      Further reading

      1. British Society for the Study of Vulval Diseases

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