Gynecological Disorders- Women's Health correctly answered graded A+

Gynecological Disorders- Women's HealthWhat is the most common gynecological no neoplastic epithelial vulvar disorder? Benign, non-inflammatory process Potentially due to Vitamin A deficiency or autoimmune process - correct answer Lichen Sclerosis! Benign Vulvar Neoplasm! Most common in prepubescent’s and menopausal females High rate of squamous cell cancer development! What presents with erythema and edema of vulva that progresses to itching and scratching leading to formation of white plaques? Dx and Tx? - correct answer Lichen Sclerosis! Benign Vulvuar Neoplasm! Itch Scratch cycle due to lichenification and hyperkeratosis! Dx: Biopsy Tx: Avoid tight clothing, cleanse daily with mild soap, silk underwear, dry with hairdryer Topical Steroids or Prob What chronic phase exhibits vulvular skin appearing white, wrinkled and thin in appearance like cigarette paper? Dx and Tx? - correct answer Lichen Sclerosis! Seen with decreased estrogen states (prepubescent and postmenopausal) Dx: Biopsy Tx: Avoid tight clothing, cleanse daily, dry with hairdryer Vaginal estrogens (cream, ring) Ospemifene: SERM estrogen agonist in vagina Vaginal moisturizers: Improves symptoms of dyspareunia, dryness, but doesn't have effect on atrophy What presents with vaginal dryness, dyspareunia, vaginal inflammation, infection and recurrent UTIs? Dx and Tx? - correct answer Vulvovaginal Atrophy! Dx: Clinical Tx: Vaginal Estrogens: Cream, ring; Reverses atrophic changes Ospemifene: SERM: Estrogen agonist in vagina