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Dr. Fellenbaum M.D. & OB/GYN Associates P.C. Specializes in Vulvodynia and Vulvar Dermatoses...

Most women believe that all vulvovaginal symptoms are due to yeast infections...


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Vulvar Dermatoses

Vulvar Dermatoses

Most women believe that all vulvovaginal symptoms are due to yeast infections, bacterial vaginosis, or sexually transmitted diseases because they are unfamiliar that other conditions exist.

Desquamative inflammatory vaginitis is not an infection or STD but it is produced by inflammation of the vagina of an unknown cause. Symptoms can include, yellow/green discharge, irritation and redness at the vaginal opening and painful intercourse.

Group B streptococcus is a bacterium that lives normally in the vagina of many women. It is not an STD. It is only medically important in the last stages of pregnancy as it can cause significant illness in newborns. Symptoms include vulvar and vaginal irritation.

Lichen planus is a skin disease that sometimes affects the vulva, vagina, and inside of the mouth. It is caused from an overactive immune system. It cannot be cured, but medications improve the skin and provide comfort. If left untreated the vaginal walls can scar together and close the vagina so that intercourse is not longer possible. Symptoms include white skin and superficial sores.

Lichen sclerosus is most apt to appear on the Vulva. It’s cause is unclear but it is believed to be caused by an overactive immune system. Symptoms can include itching, bruising, tearing, pain and white skin.

Lichen simplex chronicus (LSC),(atopic dermatitis, eczema), also called Atopic dermatitis, eczema, neurodermatitis, and dermatitis. Symptoms can include itchy skin rash from sensitive skin and mild irritation from soap, water, perspiration, stress, or rubbing of clothes.

Vestibulodynia can be diagnosed when women complain of burning, irritation, or pain who have vulvar and vaginal skin that looks normal, cultures that rule out infection, and vaginal secretions that look normal under the microscope. It is most likely caused by a combination of nerve abnormality, pelvic floor muscle weakness and irritability.

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