Dermatology > Vulval skin conditions
Immediate
30 - 60 mins
Vulval skin conditions affect the vulva, which is the area surrounding the opening of the vagina, including the inner and outer labia (labia majora and minora) and clitoris.
Symptoms of a vulval infection include itching, soreness, pain, or changes in the skin colour or texture, and can be caused by a number of different conditions.
Skin conditions affecting the vulva include:
Lichen sclerosus, which is most prevalent in post-menopausal women and related to immune system functioning.
Lichen planus, a painful condition which can also affect the skin around the mouth.
Lichen simplex (vulval dermatitis), a response to stress or chemical irritants, which may spread to the thighs or skin of the pubis and is usually worse in especially damp or heated conditions or with the use of scented soaps or deodorants.
Vulval atrophy, in which the skin becomes pale and possibly itchy or sore, caused by a drop in oestrogen levels, usually post-menopause.
VIN (vulval intraepithelial neoplasia), a potentially pre-cancerous skin condition diagnosed by biopsy.
Thrush infection (Candida albicans), caused by an imbalance in the healthy flora of the vagina.
Psoriasis, a skin disease characterised by scaly red patches on and around the joints, may in some cases affect the skin of the vulva, causing dryness and thickening.
Other medical conditions which do not directly affect the genitals can cause vulvar issues.
In all cases, it is important to take action if you notice any unusual changes in your vaginal health, as some conditions may begin with mild symptoms but can lead to something more serious.
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