Pruritus vulvae

Abstract

Pruritus is a common motive of consultation both in gynaecological and vulvar clinics although the prevalence of this symptom in any given population is not known. As opposed to vulvar pain, pruritus vulva is almost always associated with visible lesions. An etiological diagnosis is mandatory if we are to correctly inform the patient and to treat her as efficiently as possible. The age of the patient, the chronology of pruritus (acute, chronic, recurrent), the response to previous treatments (antifungal, corticosteroid), the location and the aspect of the lesions will all help assessing, or at least orienting, the etiological diagnosis. Diagnostic tests are frequently indicated. This chapter focuses on the diagnostic approach and treatment. Only the most common causes of pruritus vulvae will be considered. © 2010 Springer-Verlag London.