Vulvovaginal Disorders

Vulval and vaginal disorders refer to a variety of conditions that affect the health and function of the external and internal genital areas. These disorders can cause discomfort, itching, pain, or changes in the skin or tissue and may affect a woman’s quality of life and sexual health.

Common Vulval & Vaginal Disorders

There are many different types of vulval and vaginal disorders, including:

Vulvitis

Inflammation of the vulva, often caused by irritation, infection, or allergic reactions.

Vulvodynia

Chronic pain or discomfort around the vulva, often without an identifiable cause, which can be persistent or occur intermittently.

Lichen Sclerosus

A skin condition that causes thin, white patches on the vulva, which can lead to itching, pain, or scarring.

Lichen Planus

An inflammatory condition that affects the skin and mucous membranes, often causing painful sores in the vaginal and vulval area.

Bacterial Vaginosis (BV)

A bacterial imbalance in the vagina, leading to abnormal discharge, odour, and irritation.

In The Spotlight: Lichen Sclerosis

Lichen sclerosis is a chronic skin condition that most commonly affects the vulva, though it can appear in other areas of the body. It causes thinning, inflammation, and white patches of skin, often leading to discomfort, pain, and changes in appearance. While the condition is not contagious or life-threatening, its symptoms can significantly impact a woman’s physical and emotional well-being.

How Does Lichen Sclerosis Affect Women?

The symptoms of lichen sclerosis can vary from mild to severe. Common signs include:

  • Itching and Irritation: Persistent itching in the vulvar area can disrupt daily activities and sleep.
  • Pain or Discomfort: Pain is often most noticeable during intercourse, urination, or bowel movements due to the skin’s sensitivity.
  • Skin Changes: The skin may appear white, thin, or wrinkled and is more prone to tears or bleeding.
  • Psychological Impact: The chronic nature of lichen sclerosis and its effects on intimacy and self-image can lead to anxiety, depression, or feelings of isolation.

Dr. Orla Conlon and her team are dedicated to providing expert care for women with lichen sclerosis. They understand the sensitive nature of this condition and create a safe, supportive environment where women feel heard and cared for.

Common Vulval & Vaginal Disorders Continued

Yeast Infections (Candidiasis)

Overgrowth of the fungus Candida, causing itching, swelling, and discharge.

Genital Warts (HPV)

Warts caused by the human papillomavirus (HPV), which can affect the vulva, vagina, and surrounding areas.

Vaginal Atrophy (Atrophic Vaginitis)

Thinning, drying, and inflammation of the vaginal walls due to decreased oestrogen levels, commonly affecting postmenopausal women.

Vaginitis

Inflammation or infection of the vagina, often caused by bacteria, yeast, or irritants.

Vulvar Dermatitis

Skin irritation caused by allergens, chemicals, or prolonged moisture exposure in the vulval area.

What Are The Symptoms of Vulval & Vaginal Disorders ?

The symptoms of vulval and vaginal disorders can vary depending on the condition but often include persistent itching, irritation, or a burning sensation in the vulva or vagina.

Many women experience pain or discomfort, which may occur during urination, sexual intercourse, or even everyday activities such as sitting or walking. Changes in vaginal discharge, including differences in colour, consistency, or odour, are also common.

Additionally, redness, swelling, or sores in the vulval or vaginal area may develop, alongside noticeable skin changes such as unusual growths, lumps, or alterations in texture or appearance.

How are Vulval & Vaginal Disorders Diagnosed?

  • Medical History & Symptom Review: A thorough discussion of your symptoms, health history, and any potential triggers or causes.
  • Physical Examination: A comprehensive pelvic exam to assess the vulva and vaginal area for signs of infection, irritation, or abnormal growths.
  • Laboratory Tests: Swabs or cultures may be taken to identify infections such as bacterial vaginosis, yeast infections, or sexually transmitted infections (STIs).
  • Skin Biopsy: In cases of chronic skin conditions like lichen sclerosus or vulvar dermatitis, a small tissue sample may be taken for further analysis.

Effective Treatments for Uterovaginal Prolapse

We offer a wide range of treatment options tailored to your specific needs, including:

Lifestyle Changes

Guidance on hygiene practices, diet, and avoiding irritants that may worsen symptoms.

Hormonal Therapy

Oestrogen creams or tablets for vaginal atrophy or dryness caused by menopause.

Medications

Prescription creams, ointments, or oral medications to treat infections, reduce inflammation, or manage pain.

Pelvic Floor Therapy

Exercises and therapies to strengthen the pelvic muscles and relieve discomfort, particularly in cases of vulvodynia.

Surgical Options

For conditions like lichen sclerosus or other skin disorders, surgery may be recommended to remove abnormal tissue or lesions.

Emotional and Psychological Support

Treating the whole person, not just the condition, along with medical treatments, consider / ask your specialist about:

Counselling Services

Emotional support and counselling for women dealing with chronic pain, discomfort, or distress related to their condition.

Sexual Health Counselling

Guidance and treatment options to help manage the impact of vulval and vaginal disorders on sexual health and intimacy.