Vulval Conditions

Assessment: • Detailed history • Examination with good lighting • Biopsy if: uncertain diagnosis, suspicious lesions, treatment failure Red Flags: • Suspicious lesions • Ulceration not healing • Pigmented lesions • Masses • Bleeding Common conditions: • Lichen sclerosus: Itching, white plaques, scarring, architectural change • Lichen planus: Pain, erosions, violaceous lesions • Vulvodynia: Burning pain, no visible abnormality • Contact dermatitis: Itching, erythema, history of irritants/allergens • Infections: Candida, HSV, HPV, other STIs