Avoid Empiric Steroid Treatment for Vulvar Skin Disorders
Irritated Vulva: 10 Causes of Swelling, Redness, and Other Sympto
Topical corticosteroids are one of the oldest and most useful treatments for dermatologic conditions. There are many topical steroids available, and they differ in potency and formulation. Although use of topical steroids is common, evidence of effectiveness exists only for select conditions, such as psoriasis, vitiligo, eczema, atopic dermatitis, phimosis, acute radiation dermatitis, and lichen sclerosus. Evidence is limited for use in melasma, chronic idiopathic urticaria, and alopecia areata. Topical steroids are available in a variety of potencies and preparations. Physicians should become familiar with one or two agents in each category of potency to safely and effectively treat steroid-responsive skin conditions.
Managing common vulvar skin conditions
The range of conditions that can cause vulvovaginitis is large and includes infective and non-infective causes. Although Candida albicans is a common infective cause, it is essential to consider other diagnoses. A diagnosis should be made from the clinical presentation, history, bacteriology and in some cases histopathology, before starting treatment. The treatment can then be based on the precise aetiology. Women with vulvovaginitis may present with itch, discharge, dyspareunia, burning, soreness, dysuria and swelling.
Irritation usually refers to pain, itching, or swelling in the vaginal area. It can affect any part of your vulva, including your labia , clitoris , urethra, and vaginal opening. Folliculitis occurs when one or more hair follicles are inflamed or infected.