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Chapter 4 - Vulval Disorders in Pregnancy

Published online by Cambridge University Press:  14 July 2023

Swati Jha
Affiliation:
Sheffield Teaching Hospital NHS Foundation Trust
Priya Madhuvrata
Affiliation:
Sheffield Teaching Hospital NHS Foundation Trust
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Summary

Vulval disorders are not uncommon in obstetric practice. This chapter aims to enhance clinical skills in patient assessment, vulval examination and treatment of common benign vulval skin disease and infections. Basic treatments often benefit the patient (e.g. use of emollients and topical steroids). Some patients have complex disease and can present with more than one condition, so careful assessment and individualised management is essential. Understanding of when to refer onwards to a gynaecologist and even a vulval specialist service is important to optimise clinical outcomes.

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Publisher: Cambridge University Press
Print publication year: 2023

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References

Neill, S. M., Lewis, F. M., Tatnall, F. M. and Cox, N. H.. British Association of Dermatologists’ guidelines for the management of lichen sclerosus 2010. The British Journal of Dermatology, 163 (2010), 672–82.Google Scholar
Chi, C. C., Kirtschig, G., Baldo, M., et al. Topical interventions for genital lichen sclerosus. Cochrane Database of Systematic Reviews, 7 (2011), CD008240. https://doi.org/10.1002/14651858.CD008240.pub2Google Scholar
Nguyen, Y., Bradford, J. and Fischer, G.. Lichen sclerosus in pregnancy: A review of 33 cases. Australian & New Zealand Journal of Obstetrics & Gynaecology, 58 (2018), 686–9.CrossRefGoogle ScholarPubMed
O’Gorman, S. M. and Torgerson, R. R.. Allergic contact dermatitis of the vulva. Dermatitis, 24 (2013), 6472.Google Scholar
National Institute for Health and Care Excellence. Guidance on the Management of Vulvovaginal Candidiasis. https://cks.nice.org.uk/topics/candida-female-genital/Google Scholar
Haider, Z., Condous, G., Kirk, E., et al. The simple outpatient management of Bartholin’s abscess using the Word catheter: A preliminary study. Australian & New Zealand Journal of Obstetrics & Gynaecology, 47 (2007), 137–40.CrossRefGoogle ScholarPubMed
Bornstein, J., Goldstein, A. T., Stockdale, C. K., et al. Consensus vulvar pain terminology committee of the International Society for the Study of Vulvovaginal Disease (ISSVD), the International Society for the Study of Womenʼs Sexual Health (ISSWSH), and the International Pelvic Pain Society (IPPS). Journal of Lower Genital Tract Disease, 20 (2016), 126–30.Google Scholar
Nunns, D., Mandal, D., Byrne, M., et al. British Society for the Study of Vulval Disease (BSSVD) Guideline Group. Guidelines for the management of vulvodynia. British Journal of Dermatology, 162 (2010), 1180–5.Google Scholar

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