By Laurie Udesky What is vulvodynia? Vulvodynia is a puzzling syndrome in which women feel chronic pain in the vulva, which consists of the external genitals including the clitoris, the pubic mound, and the labia. Women with the condition describe the pain as a burning, itching, rawness, or stinging, particularly during urination. This vulvar discomfort ranges from annoying to unbearable, and can be continuous or set off by touch. Some women with severe forms of the ailment hurt even while walking or sitting.
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Vulvovaginal Disorders: Lichen Planus - Cancer Therapy Advisor
Glossary What is the vulva? The external female genital area is called the vulva. The outer folds of skin are called the labia majora, and the inner folds are called the labia minora. Within the labia minora is the vestibule. The vagina and urethra open into the vestibule. On either side of the opening of the urethra are the openings to tiny glands called Skene glands.
What every clinician should know Lichen planus is the most common chronic erosive vulvar dermatosis, often presenting in the peri- and postmenopausal period. Lichen planus is an inflammatory, mucocutaneous disorder that exhibits a wide range of morphologies. The most common, most morbid, and most difficult to treat is the erosive form.
In considering treatment, distinguishing between sporadic or recurrent episodes of vulvovaginitis is of great importance. Uncomplicated sporadic vaginitis usually is caused by strains of C albicans. The majority of these strains exhibits sensitivity to azole-based antifungal agents and thus, usually are responsive to all forms of antifungal therapy. To date, no overall difference has been observed in studies regarding the in vitro activity and clinical efficacy of the various azole topical agents listed in Table 1 for the treatment of uncomplicated cases.