Vulvar diseases and treatments
Here is a look at some disorders of the vulva — a woman’s external genitals, including the labia majora, labia minora, clitoris and entrance to the vagina, called the vestibule.
 Vulvar vestibulitis: Pain only during intercourse or tampon insertion, pain when vestibular gland is touched. Redness often present. Treatments: stop using all personal care products, prescription anti-yeast medication, topical corticosteroids, neuropathic pain medicationl, pelvic floor exercises, surgery to remove the vestibule
 Cyclic vulvovaginitis: Itching and burning, often related to menstrual cycle. Irritation, fissures, scaling and pustules may form after intercourse. Treatment: four to six months of low-dose systemic ketoconazole (a steroid) or anti-candida drugs.
 Periorificial dermatitis: Irritated mucous tissue. Redness present. Patient often has history of chronic use of topical steroids and has candida infection. Treatment: tapering off of steroids and taking anti-candida drugs every other day.
 Vestibular papillomatosis: Discomfort at entry and after intercourse. Human papilloma virus infection present. Treatments: trichloroacetic acid, topical 5-FU (a cell-killing drug), interferon injections and laser removal of tissue.
 Dysesthetic vulvodynia pudendal neuralgia: Constant burning pain not related to touch or pressure. Redness may be present. Suspected to be a nerve reflex problem. Treatment: low-dose amitriptyline, an antidepressant.
 Lichen sclerosus et atrophicus: Itching and burning. Vulvar skin becomes whiter, may thicken or thin. Treatments: topical 2 percent testosterone propionate ointment or topical steroids.
Source: Dr. Marilynne McKay, Emory Clinic Center for Vulvar Diseases
Text and illustrations by Kevin T. Boyd
Acupressure for vulva problems
Here are lists of acupressure points for problems with the Sex organs and for Rash, on PointFinder.org.
If this is your first time, please read the instructions. Don’t use acupressure to replace standard emergency procedures or licensed medical treatment. If you are seriously injured or have acute symptoms seek urgent medical treatment.