Gynecological Disorders- Women's Health Summary questions and answers

Gynecological Disorders- Women's Health Summary questions and answers What is the most common gynecological nonneoplastic epithelial vulvar disorder? Benign, non-inflammatory process Potentially due to Vitamin A deficiency or autoimmune process - ***Lichen Sclerosis! Benign Vulvular Neoplasm! Most common in prepubescents 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? - ***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? - ***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? - ***Vulvovaginal Atrophy! Dx: Clinical Tx: Vaginal Estrogens: Cream, ring; Reverses atrophic changes Ospemifene: SERM: Estrogen agonist in vagina Vaginal Moisturizers: Improves symptoms, but has no effect on atrophy What presents with pain, dyspareunia, vulvar tenderness, with fluctuant, tender mass upon palpation of 4 or 8 o' clock vulva location? Dx and Tx? - ***BARTHOLIN'S CYST! Dx: Clinical If >40: Biopsy because of cancer risk Tx: INCISION AND DRAINAGE WORD CATHETER: inflatable bulb-tipped catheter allows for healing