Inflammation of the External Genital Vulvitis

Vulvitis: Drug Therapy

Therapeutic target Restoration of physiological conditions in the vulva area and thus avoidance of complications. Therapy recommendations Vulvitis due to bacteria Vulvitis due to bacterial vaginosis: antibiosis/antibiotic therapy (oral, vaginal tablets, vaginal gel). Folliculitis, boils, impetigo contagiosa (bork lichen; pus lichen), carbuncles, vulvitis pustulosa: pathogen Staphylococcus aureus: antibiosis (oral). Erysipelas, impetigo contagiosa, vulvitis in little … Vulvitis: Drug Therapy

Vulvitis: Diagnostic Tests

Obligatory medical device diagnostics. Phase contrast microscopy of vaginal secretions – live, unstained cells appear extremely low in contrast in a normal brightfield microscope, these are well visualized by the phase contrast method (see below 1st order laboratory parameters). Optional medical device diagnostics – depending onthe results of the history, physical examination, laboratory diagnostics and … Vulvitis: Diagnostic Tests

Vulvitis: Surgical Therapy

Surgical intervention may be appropriate and necessary for a few conditions in the vulvar area that are associated with vulvitis: Condylomata acuminata (synonyms: genital warts, wet warts, genital warts): surgical ablation of the skin lesions is usually the last therapeutic option after other therapeutic options (e.g., topical application of imiquimod or destructive solutions or ointments … Vulvitis: Surgical Therapy

Vulvitis: Prevention

To prevent vulvitis (inflammation of the external genitalia), special attention must be paid to reducing risk factors. Behavioral risk factors Diet Micronutrient deficiency (vital substances) – see Prevention with micronutrients. Consumption of stimulants Tobacco (smoking) may increase the incidence (frequency of new cases) of HPV infection Physical activity Mechanical stress e.. E.g. by cycling, horseback … Vulvitis: Prevention

Vulvitis: Symptoms, Complaints, Signs

The following symptoms and complaints may indicate vulvitis (inflammation of the external genitalia): Pathognomonic (indicative of a disease) White plaques are pathognomonic for mycosis (fungal infection). Vesicles arranged in groups on a red background with burning and itching are pathognomonic for genital herpes. Fibroepithelial, papillary tissue changes are pathognomonic for condylomata acuminata (HPV infection type … Vulvitis: Symptoms, Complaints, Signs

Vulvitis: Causes

Pathogenesis (development of disease) According to the very different causes of vulvitis, there is no single pathophysiology. However, even for the most common causes, infections, it can be very different or it is very often unclear when, under which conditions, a pathogen leads to disease or symptoms or not. The same is true for many … Vulvitis: Causes

Vulvitis: Therapy

Subsequent local measures are independent of the causes of the disease. General measures Observance of the general hygiene measures! Proper micturition posture in the little girl: the urine should enter the toilet by the shortest route; use a child’s toilet insert or footrests to support the legs; while spreading the thighs and slightly bending forward … Vulvitis: Therapy

Vulvitis: Medical History

The anamnesis (medical history) represents an important component in the diagnosis of vulvitis (inflammation of the external genitalia). Family anamnesis Social anamnesis Current anamnesis/systemic anamnesis (somatic and psychological complaints). Have the complaints been present for a short time, or for months, or longer? (Short-term complaints tend to be in favor of infection, long-term complaints tend … Vulvitis: Medical History

Vulvitis: Or something else? Differential Diagnosis

Since the differential diagnoses according to the ICD 10 are partly not recorded, e.g. burning, vesicles or only unclear, and clinically not practicable to present, a differential diagnosis under clinically relevant aspects according to symptoms is presented under the item “Further”, whereby a strict separation between vulva and vagina is not possible and also not … Vulvitis: Or something else? Differential Diagnosis

Vulvitis: Complications

The following are the most important diseases that can be caused by vulvitis (inflammation of the external genitalia) including vulvar disease: Skin and subcutaneous (L00-L99). Anal region, perineum, gluteal region (buttock region), groin, mons pubis (mons veneris or mons pubis), rectal region: Abscesses (encapsulated accumulation of pus). Erysipelas – purulent infection of the skin and … Vulvitis: Complications

Vulvitis: Classification

The following forms of vulvitis are distinguished according to their clinic and etiology (causes): Clinic Acute vulvitis with acute, pronounced symptoms and a laboratory diagnosis. Subacute vulvitis (clinically less severe symptoms than acute) with minor or absent symptoms but with a laboratory diagnosis Chronic vulvitis with often absent or chronic recurrent symptoms and a laboratory … Vulvitis: Classification

Vulvitis: Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; further: Inspection (viewing). Skin and mucous membranes Abdominal wall and inguinal region (groin area). Gynecological examination Inspection Vulva (external, primary female sex organs) [atrophic changes? Fluorine/discharge?, color?, foetor/odor?, inflammation?, vesicles?, coating?, scratch … Vulvitis: Examination