Dermatologic conditions of the vulva during menopause

Abstract

As women age, vulva skin dysplasias and dermatoses become more common; however, the exact incidence has not been determined due to underreporting of these conditions. Pruritus and pain are the most common presenting symptoms. Vulvar dysplasias and dermatoses, although not life-threatening by themselves, may interrupt the woman’s quality of life by causing chronic irritative symptoms. A woman’s health-care provider plays a key role in screening, diagnosis, and treatment of these disorders. When a suspicious vulvar lesion is noted, biopsy is recommended for definitive diagnosis, and when available, biopsy interpretation by a dermatopathologist. Common elements of treatment include removal of offending agents and topical corticosteroid cream, an intervention effective for its anti-inflammatory and antipruritic effects.