Vaginal & Vulvar Health
What is the vulva?
- The vulva is a term used to describe the structural components of the external female genitalia.
- The Mons pubis (hair covered mound that lies above pubic bone)
- Clitoris and Clitoral hood
- Inner and outer labia major and minora
- Urethra
- Vaginal opening and hymen
Why is it important to pay attention to the vulva?
- To preserve quality of life and sexual function
- Prevent irreversible changes to anatomy
- Prevent malignancy (cancer)
- Diagnose HPV or condylomatous warts itching
- Diagnose HSV ulcers – burning of the labia and vaginal opening, urinary discomfort
- Diagnose Crab Lice or Pubic Lice – itching
Lichen Disorders
- Lichen Planus – erosive lesions, intense burning, stinging pain
- Lichen Sclerosus – thin vulvar skin, cracking and fissuring, intense itching and burning
- Lichen Simple Chronicus – itch-scratch-itch cycles, worse at night, disrupts sleep
Dermatoses
- Psoriasis, Eczema, Contact Dermatitis (irritation from soaps, wipes etc.)
Vulvar Cancer
- 4th most common GYN cancer in the US
- Focal or multi – focal patch, mass or ulcer
- Sometimes itching and non-responsive to steroid treatment
- Dark, red or white in color
- Diagnosed by biopsy
Vulvodynia
- Vulvar pain for > 3 months with no obvious cause
- Pain in vaginal opening
- Worse with prolonged sitting, sexual activity, even certain clothing
- Stinging, burning or throbbing
Genitourinary Syndrome of Menopause
- Most common reason for vulvar and vaginal complaint in post-menopausal women
- Caused by lack of estrogen in menopause
- Affects tissue of labia, urethra, clitoris and vagina
- Thinning of the labia and constriction of vaginal opening
What are symptoms of GSM?
- Vaginal dryness
- Vaginal pain with intercourse
- Vulvar irritation and burning
- Symptoms of urinary tract infection
- Vaginal discharge
- Cracks and fissures of vulvar tissue
Neurologic Vulvar Pain
- Nerve compression or neuroma
Q&A
Is it useful to use probiotics to maintain optimal vaginal health?
Yes, it may be very useful for those patients who have recurrent B.V. or “intermediate B.V.” test results. Oral probiotic containing Lactobacilli rhamnoses and Lactobacilli acidophilus have been proven efficacious in preventing vaginal wall infections and safe to use i.e. Clairvee and Respecta.
Is it important to inspect my vulva?
Yes! It is a good practice to take a handheld mirror and regularly inspect your entire vulva for any irregularity in anatomy or for any signs or symptoms we have discussed above. At your visit, diagnostic modalities are employed and appropriate prescriptions, i.e. ointments, creams, LLLT (low level light therapy) may be instituted.
Why is it called the “Vulva”?
“Vulva” is derived from the Latin word “Volva” meaning “wrapping” or “covering”. So, Vulva refers to the way the labia minora and majora enclose and protect the structures that make up the external urinary and reproductive system.
With over 33 years of combined expertise, the team at Modern Women’s Care specializes in diagnosing and treating vaginal and vulvar health concerns. Don’t wait – your health deserves expert care. Call today to schedule your personalized consultation and feel your best from the inside out.