Health Waikato, Hamilton, New Zealand.
Two hundred and two patients with clinically typical or biopsy-confirmed vulval lichen sclerosus were reviewed either at consultation (75%) or by retrospectively examining their chart. At diagnosis, 79% were 50 years or older. Ninety-six per cent complained of itching, pain and/or dyspareunia. Lichen sclerosus most often affected the labia minora and perineum but 50% had perianal and 13% had extragenital disease. Thirty-five patients gave a history of psoriasis (17%), which affected the vulval area in 10. Thyroid disease was reported in 39 patients (19%), and 33 gave a family history of thyroid disease. Of those tested (142), 20% had elevated thyroid antibodies. Topical clobetasol propionate was very effective but at least intermittent treatment was required long term in 85%. At follow up, 101 of 185 patients (56%) were asymptomatic but 22 (12%) continued to have moderate-to-severe symptoms. Thyroid disease and psoriasis are common associated conditions.
Please click on the required question.
- 1 What skin conditions may affect the vulva?
- 2 Which viral infections can affect the genitalia?
- 3 What problems can occur to people with herpes simplex?
- 4 What are genital warts?
- 5 What is lichen sclerosus?
- 6 How is lichen sclerosus treated?
- 7 What could be causing my vulval irritation?
- 8 How could my vulval irritation be treated?
- 9 What is a Bartholin's cyst / abscess?
- 10 How is a Bartholin's cyst / abscess treated?
- 11 What is vulvodynia?
- 12 How can my vulvodynia be treated?
- 13 What is vestibulitis?
- 14 How can my vestibulitis be treated?
- 15 Where can I obtain further information?
- 16 Support Groups.
Thank you for choosing to visit us.
This is the personal website of David A Viniker MD FRCOG, Consultant Obstetrician and Gynaecologist at Whipps Cross University Hospital, London - Specialist Interests - Reproductive Medicine including Infertility, PCOS, PMS, Menopause and HRT.
I do hope that you find the answers to your women's health questions in the patient information and medical advice provided.
