Pruritus or itch can be a symptom of many dermatological conditions of the vulva and can range from mildly annoying to severely impacting a patient’s quality of life. The dermatological causes of vulval pruritus are many; those that will be discussed in this article are inflammatory dermatoses, infection, neoplasia and atrophy. It is important to identify and manage vulval conditions, because of the impact on patients’ quality of life and because they may represent a malignancy or a precursor to one. A tailored history and examination will help direct clinicians to the appropriate management and referral pathway. Alongside the correct medical treatment, patients should be provided with information on the principles of vulval care and where to access further information on their condition.
EdwardsSBatesCLewisF, et al. (2015)
2014 UK national guideline on the management of vulval conditions. International Journal of STD & AIDS26(9): 611–624. DOI: 10.1177/0956462414554271.
5.
FischerGBradfordJ (2016) The Vulva: A Practical Handbook for Clinicians.
Cambridge, UK:
Cambridge University Press.
6.
KandanearachchiPSahuBAntonakouA, et al. (2018)
A survey of management of vulvar disorders in the primary health care setting in an urban area of England. Archives of Hellenic Medicine35(3): 405–411.
7.
LewisFTatnallFVelangiS, et al. (2018)
British Association of Dermatologists guidelines for the management of lichen sclerosus. British Journal of Dermatology178(4): 839–853. DOI: 10.1111/bjd.16241.
8.
NICE (2015) Suspected cancer: Recognition and referral. Available at: www.nice.org.uk/guidance/ng12 (accessed 27 October 2022).
SaxonCEdwardsARautemaa-RichardsonR, et al. (2020)
British Association for Sexual Health and HIV national guideline for the management of vulvovaginal candidiasis (2020). International Journal of STD & AIDS31(12): 1124–1144. DOI: 10.1177/0956462420943034.
StewartEBissonnetteIMargessonL, et al. (2022f) Color atlas of vulvar disorders. Vulvovaginal disorders: A pathway to diagnosis and treatment. Available at: https://vulvovaginaldisorders.org. (accessed 31 October 2022).
