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Vulvar diseases: Approach to the patient.

Melissa M Mauskar1, Kalyani Marathe2, Aruna Venkatesan3

  • 1Department of Dermatology, University of Texas Southwestern Medical Center, Dallas, Texas; Department of Obstetrics and Gynecology, University of Texas Southwestern Medical Center, Dallas, Texas.

Journal of the American Academy of Dermatology
|November 13, 2019
PubMed
Summary

Vulvar dermatoses are often delayed in diagnosis due to patient anxiety and limited physician training. Dermatologists need enhanced skills to effectively manage these common skin conditions of the vulva.

Keywords:
female genitaliagenitalpatient educationphysical examinationvulvar dermatologyvulvology

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Area of Science:

  • Dermatology
  • Gynecology
  • Women's Health

Background:

  • Vulvar dermatoses present unique challenges in diagnosis and management.
  • Patients often experience anxiety and embarrassment, leading to delayed medical care.
  • Gynecologists have limited training in vulvar skin conditions, while dermatologists may lack comfort and experience.

Purpose of the Study:

  • To review the fundamentals of vulvar dermatoses.
  • To outline an effective approach and examination techniques for vulvar skin conditions.
  • To improve dermatologists' recognition and management of vulvar disorders.

Main Methods:

  • Review of current literature and clinical guidelines.
  • Discussion of patient interview and physical examination techniques specific to the vulva.
  • Emphasis on differentiating normal anatomic variations from pathology.

Main Results:

  • Vulvar dermatoses are common but often underdiagnosed.
  • Effective patient communication and specialized examination skills are crucial.
  • Dermatologists require targeted education to confidently manage these conditions.

Conclusions:

  • Dermatologists are best positioned to manage vulvar skin conditions.
  • Enhanced training can improve diagnostic accuracy and patient outcomes.
  • A systematic approach ensures a successful and sensitive patient visit.