Benign Conditions of the Vulva/Vagina, Psychosexual Disorders and FGM Flashcards

1
Q

Lichen planus

A

Recurrent inflammatory disorder of skin and mucous membranes

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2
Q

Lichen planus Rx

A

1st line; High dose topical steroids (clobetasol)

2nd line: Topical calcineurin inhibtor (tacrolimus)

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3
Q

Lichen sclerosus

A

itchy white patches ?immune related

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4
Q

Lichen sclerosus Mx

A

Good skin care
1st line: strong steroid ointment (clobetasol)
2: calcineurin inhibitor (tacrolimus)

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5
Q

Pruritis Vulvae

A

Possible causes: infection eczema, contact dermatitis
Remove soap/cause
Mild steroid -> stronger if severe

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6
Q

Bartholin cyst/abcess Mx

A

C: if cyst discharging and patient well Rx: fluclox.
S: incision and drainage (+/- Word catheter to retain patency)

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7
Q

Marsupialisation of a cyst?

A

Suture internal aspect to outside preventing reformation

GA/Spinal anaesthesia

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8
Q

PACES counselling of a Bartholin cyst

A

RF: nulliparous, child bearing age, Hx
Dx: infected blockage of duct
Mx: observation and ABx, I+D +/- Word catheter, marsupialisation
Recommend STI screen

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9
Q

Vaginismus

A

pelvic floor spasm preventing sex, examination, tampon insertion

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10
Q

Vaginismus Mx

A

Say I’m using a “small” speculum
Encourage self exploration
Discuss is surgery and option

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11
Q

FGM - Your requirements?

A

Any case reported in notes
Any case in <18y report to police
Check if there are girls at risk

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12
Q

FGM Mx

A

De-infibulation:

  • ideally pre-conceptually
  • under adequate sedation
  • incision made on vulval scar
  • prior UTI screen
  • Access to support
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