Bold dr jayh ejjkeo ekkwveb Education.pptx

a14samsung8914 24 views 12 slides Sep 26, 2024
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About This Presentation

Bold dr jayh ejjkeo ekkwveb Education.pptx


Slide Content

Female Genital Pruritus Vulvae An overview of the causes, classification, pathology, clinical picture, complications, diagnosis, and management of pruritus vulvae.

Pathology Skin Changes: Inflammation, erythema, and excoriation from scratching can occur. Immune Response: Local immune reactions to infections or allergens can lead to pruritus. Neurological Factors: Nerve endings in the vulvar area may become hypersensitive due to irritation or inflammation.

Complications Secondary Infections: Persistent scratching can lead to skin breaks, making the vulvar area susceptible to bacterial infections. Chronic Pain or Discomfort: Ongoing pruritus can cause significant discomfort and chronic pain, impacting quality of life. Vulvar Dermatitis: Chronic irritation may lead to dermatitis, characterized by inflammation, redness, and further itching.

Types Primary Vulvar Pruritus: Occurs without any identifiable underlying condition. Secondary Vulvar Pruritus: Associated with specific medical conditions or infections.

Causes: Infectious Yeast Infections: Commonly caused by Candida albicans. Bacterial Vaginosis: An imbalance of normal vaginal flora. STIs: Such as herpes, trichomoniasis, or gonorrhea.

Causes: Dermatological Contact Dermatitis: Reaction to soaps, detergents, or hygiene products. Eczema or Psoriasis: Skin conditions that can affect the vulvar area. Lichen Sclerosus: A chronic inflammatory condition affecting the skin.

Diagnosis & Management Clinical History: Detailed history of symptoms, potential exposures, and medical conditions. Physical Examination: Inspection of the vulva for signs of infection, inflammation, or skin changes. Laboratory Tests: Vaginal swabs, culture tests, and skin biopsy if needed. Management: Identifying and treating underlying causes, symptomatic relief, avoiding irritants, and patient education.

Classification Infectious: Caused by infections like yeast or STIs. Inflammatory or Dermatitis: Including contact dermatitis or eczema. Atrophic: Due to hormonal changes, particularly in postmenopausal women. Systemic: Associated with underlying systemic diseases.

Clinical Picture Intense Itching: Often described as a burning or stinging sensation. Redness and Inflammation: The vulvar area may appear swollen and erythematous. Discharge: Associated infections may lead to abnormal vaginal discharge. Excoriation: Scratching may result in skin breaks or secondary infections.

Causes: Hormonal & Other Menopause: Decreased estrogen levels leading to vaginal atrophy and dryness. Pregnancy: Hormonal changes can lead to itching. Allergies: Reactions to products such as lubricants or condoms. Systemic Conditions: Diabetes or thyroid disorders.

Definition Female genital pruritus vulvae refers to itching in the vulvar region, which can be a distressing symptom for many women. It may occur alone or be associated with other symptoms such as irritation, burning, or discharge.

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