Addressing ignored and neglected: Nonvenereal vulvar dermatoses

Abstract

Introduction: Vulval dermatoses may present with varied manifestations ranging from asymptomatic to chronic disabling conditions. Due to the warm, moist, and frictional environment of the vulva and its frequent exposure to irritating substances such as urine, feces, repeated use of napkins, and vaginal secretions, the classic appearance of common dermatoses is modified. Aim and Objective: To study the pattern of nonvenereal disease of female external genitalia. Materials and Methods: The study involved 50 female participants over a 1-year period, with informed consent obtained from all. A comprehensive history was recorded, including demographic details, skin-related complaints, itching, discoloration, thickening, thinning, darkening, erosion, ulceration, onset, duration, pregnancy, menstrual status, and associated conditions. Sexual exposure history was also noted. A thorough examination of the external genitalia was conducted, along with a full physical assessment for any other body lesions. Relevant investigations were performed to confirm the diagnosis. Results: The most common age group was 31–40 years. The most common presenting symptom was itching. The most common noninfectious nonvenereal dermatoses were lichen sclerosus (18%), vitiligo (18%), and lichen simplex chronicus (12%). Other dermatoses included lymphedema, invasive squamous cell carcinoma, psoriasis, lichen planus, lymphangioma circumscriptum, irritant contact dermatitis, melanocytic nevi, and drug reaction. Conclusion: Due to the challenging nature of self-examination of the vulva, individuals may delay in seeking medical attention for genital lesions. This hesitation can result in heightened anxiety and fear, significantly affecting the patient’s quality of life by contributing to increased morbidity and disruptions in sexual function.