Approaches to vulvar dermatology

Vulvar dermatoses constitute a significant yet frequently overlooked aspect of patient care, often requiring detailed attention from health care practitioners as patients may not readily disclose their vulvar concerns. This article outlines the importance of targeted questioning regarding symptoms such as itching, burning, pain, dyspareunia, and incontinence. We provide an overview of 6 common vulvar conditions: vulvar lichen sclerosus, erosive vulvovaginal lichen planus, allergic and irritant contact dermatitis, vulvovaginal candidiasis, vulvodynia, and genitourinary syndrome of menopause. For each condition, we discuss the clinical presentation, pertinent physical examination findings, and treatment options. By equipping dermatology physician assistants with the knowledge and skills to correctly diagnose and treat common vulvar dermatoses, this review aims to facilitate the delivery of comprehensive and patient-centered care to individuals affected by these conditions