Vulval Pain Flashcards
acute causes of vulval pain
ulceration
trauma
Bartholin’s cyst
dermatitis
ulceration causes on vulva
herpes
apthous ulcers
shingles
chronic causes of vulval pain
vulvodynia FGM pudendal nerve dysfunction lichen sclerosis lichen planus VIN/cancer
define vulvodynia
burning sensation with absence of pathology
presentation of vulvodynia
burning
dyspareunia
diagnosis of vulvodynia
diagnosis of exclusion
management of vulvodynia
genital skin care advice emollients vaginal trainers physiotherapy lidocaine tricyclics gabapentin/pregabalin psychosexual interventions
what is FGM?
total or partial removal of external genitalia in women for non-medical reasons
type 1 FGM
partial or total removal of clitoris and/or prepuce
type 2 FGM
clitoris or labia minor with/without labia majora
type 3 FGM
narrowing of vaginal orifice by creating seal (infibulation)
type 4 FGM
all other harmful procedures e.g. pricking, piercing, scraping
short-term complications of FGM
haemorrhage urinary retention genital swelling infection sepsis
long-term complications of FGM
stricture fistula PTSD impaired sexual function HIV hep B obstetric complications
management of FGM
explain law
C/S