Vulval/vaginal Flashcards
Management of atrophic vaginitis?
Topical oestrogen bd for a week then twice weekly. Licensed for 3 months
Vaginal intraepithelial neoplasia usually occurs in combination with…?
Cervical intraepithelial neoplasia
Management of Bartholin’s abscess? (3)
May discharge by themselves; antibiotics may help if early; may need referral for surgery
Prolapse of the posterior urethral wall?
Urethral caruncle
Management of vulvodynia? (3)
Lidocaine gel may control pain during intercourse
Titrate amitriptyline/gabapentinoids
Refer if causing severe distress/no response
Atrophic vulval skin with leukoplakia
Lichen sclerosus
Multiple symmetric thickened vulval plaques
Hyperplastic vulval dystrophy
Management of lichen sclerosis/vulval dystrophy?
Topical steroids