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Chapter 4 - Vulval Disorders in Pregnancy

Published online by Cambridge University Press:  14 July 2023

By
David Nunns
Edited by
Swati Jha  and
Priya Madhuvrata
Swati Jha
Affiliation:
Sheffield Teaching Hospital NHS Foundation Trust
Priya Madhuvrata
Affiliation:
Sheffield Teaching Hospital NHS Foundation Trust
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Summary

Vulval disorders are not uncommon in obstetric practice. This chapter aims to enhance clinical skills in patient assessment, vulval examination and treatment of common benign vulval skin disease and infections. Basic treatments often benefit the patient (e.g. use of emollients and topical steroids). Some patients have complex disease and can present with more than one condition, so careful assessment and individualised management is essential. Understanding of when to refer onwards to a gynaecologist and even a vulval specialist service is important to optimise clinical outcomes.

Keywords

vulvalichen sclerosuslichen planusvulval eczema (dermatitis)psoriasisvulvovaginal candidiasislichen simplexvulvodyniaBartholin’s cysts
Type
Chapter
Information
Gynaecology for the Obstetrician , pp. 31 - 39
Publisher: Cambridge University Press
Print publication year: 2023

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References

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Bornstein, J., Goldstein, A. T., Stockdale, C. K., et al. Consensus vulvar pain terminology committee of the International Society for the Study of Vulvovaginal Disease (ISSVD), the International Society for the Study of Womenʼs Sexual Health (ISSWSH), and the International Pelvic Pain Society (IPPS). Journal of Lower Genital Tract Disease, 20 (2016), 126–30.Google Scholar
Nunns, D., Mandal, D., Byrne, M., et al. British Society for the Study of Vulval Disease (BSSVD) Guideline Group. Guidelines for the management of vulvodynia. British Journal of Dermatology, 162 (2010), 1180–5.Google Scholar

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