Symposium editorial: Female genital dermatoses
How to cite this article: Prabhu SS. Symposium editorial: Female genital dermatoses. J Skin Sex Transm Dis, doi: 10.25259/JSSTD_4_2022
The vulvar region is a complex mucocutaneous area which is seen at the conjecture of urinary, vaginal, and anal apertures, which makes it susceptible to various infectious and inflammatory conditions. Vulvar pathology is often multifactorial and overlapping. In obscure vulvar conditions, a multidisciplinary approach involving the dermatologists, gynecologists, urologists, and gastroenterologists is ideal.
However, vulvar dermatoses are an under-evaluated group, mainly due to reticence of women to come forth with their problems due to fear and cultural taboos, along with the awkwardness associated with a genital examination. Fear of sexually transmitted diseases and malignancies further complicates the situation. There is often a delay in diagnosis and proper treatment due to the hesitancy of the patient in seeking care and hesitancy of the doctor in ordering a biopsy or other specific investigations. Many a condition often appears different on skin and genitalia, confusing the non-dermatologist.
Vulvar diseases may be specific to the vulva or may occur as part of a generalized disorder. Clinical features may be modified due to friction, moisture, and occlusion. Chronic vulvar dermatoses are often associated with dyspareunia. Sexual dysfunction is seen in up to 50% of women with chronic vulvovaginal disease, which amounts to twice the frequency of the same in general population.
Vulvar dermatoses are often a field of contention between dermatology and gynecology. However, the study of the vulva is now emerging as a recognized branch of clinical dermatology, with growing research and dermatologists are expected to perform a key role in the multidisciplinary approach to this hitherto neglected branch. The International Society for the Study of Vulvovaginal Disease (ISSVD) was founded in 1970 and has quickly grown into a society that globally promotes education regarding vulvovaginal diseases among interested health-care professionals, especially dermatologists and venereologists. The ISSVD has also put forth various classifications which have been adopted universally.
This symposium on “Female genital dermatoses” goes on to discuss certain inflammatory, infectious, and neoplastic genital dermatoses. The first review article of the symposium discusses premalignant conditions of the vulva. This is followed by an overview of vulvar inflammatory disorders which encompass a varied group of conditions such as contact dermatitis, lichen planus, and lichen sclerosus, which if left untreated have a tendency to chronicity, and even malignancy in select cases. The third review article deals with the non-sexually acquired bacterial infections of the vulva and their appropriate management. The last review is on the controversial entity “cytolytic vaginosis,” a condition that closely mimics vulvovaginal candidiasis symptomatically. However, there are conflicting opinions regarding the existence of an entity which causes vaginal discharge, pruritus, dysuria, and dyspareunia in the affected due to the overgrowth of vaginal lactobacilli.
We selected these topics considering their importance in day-to-day clinical practice. Through this symposium, we have attempted to provide information on these clinically relevant topics.
Declaration of patient consent
Not required as there are no patients in this article.
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Conflicts of interest
There are no conflicts of interest.
- Available from: https://www.issvd.org [Last accessed on 2022 Jan 18]