Vulvar Skin Disease

At the Center for Women’s Integrated Health, we recognize that vulvar skin conditions can have a significant impact on your daily life and overall well-being. Whether you're experiencing discomfort, irritation, or are concerned about changes in the skin of the vulva, our team is here to help you understand your symptoms and explore your treatment options.

What causes vulvar skin disease?

Vulvar skin conditions can arise from a variety of factors, including:

• Hormonal changes such as those associated with menopause or pregnancy
• Infections like yeast infections, bacterial vaginosis, or sexually transmitted infections (STIs)
• Chronic inflammatory conditions such as lichen sclerosus, lichen planus, psoriasis, or eczema
• Allergic reactions to products like soaps, detergents, or sanitary products
• Irritation from clothing, friction, or personal hygiene practices
• Autoimmune disorders that affect the skin
• Genetic predisposition to certain skin conditions

Often, women may experience multiple contributing factors simultaneously. Your dermatologist can help identify the specific causes of your vulvar symptoms and create a personalized care plan.

How do hormones affect vulvar skin disease?

Hormonal fluctuations can play a significant role in vulvar skin health. Conditions like lichen sclerosus or vulvovaginal atrophy often become more pronounced during menopause due to decreased estrogen levels. These changes can lead to thinning, dryness, and discomfort in the vulvar skin.

Your dermatologist may work closely with your gynecologist or other specialists to address the hormonal aspects of your vulvar condition, offering treatments that target both the symptoms and underlying causes.

What are the symptoms of vulvar skin disease?

Symptoms of vulvar skin disease can vary widely depending on the underlying condition, but they often include:

• Itching
• Pain or discomfort
• Redness or swelling
• Lesions or sores
• Changes in skin color
• Thickening or thinning of the skin
• Burning sensation
• Discharge
• Cracks or fissures

If you’re experiencing any of these symptoms, it’s important to consult with a healthcare provider, such as a dermatologist or gynecologist, to determine the underlying cause and appropriate treatment.

How do I prevent vulvar skin disease?

Preventing vulvar skin conditions involves understanding your unique risk factors, such as personal hygiene practices, use of certain products, and hormonal changes. Regular check-ups with your dermatologist can help catch potential issues early and provide guidance on how to maintain healthy vulvar skin.

How do I treat vulvar skin disease?

At the University of Chicago Medicine, your dermatologist will help you navigate the various treatment options available for vulvar skin conditions, including:

• Lifestyle and hygiene modifications to reduce irritation and prevent flare-ups
  
• Topical medications such as corticosteroids, emollients, antifungal, or hormonal creams
• Oral medications for systemic conditions
• Procedures like biopsy for diagnosis and intralesional steroid injections, cryotherapy, or excision for treatment
• Psychological support such as sex therapy
• Physical therapy for the pelvic floor

Because vulvar skin disease can be linked to a range of health concerns—such as hormonal changes, infections, or autoimmune conditions—our multidisciplinary team works together to ensure your treatment supports both your skin health and overall well-being.