Vulvar dystrophy is a change in the skin of the vulva. It is a white spot of thick or thin skin on the vulva. Dermatoses is another term used for changes in the skin of the vulva.
The vulva are the folds of skin around the opening of the vagina. The urethra, which empties urine from the bladder, also opens into the vulva.
Four types of vulvar dystrophy are:
The cause of vulvar dystrophy or dermatoses is often not known. Sometimes irritation of the skin may be a cause, or irritation may make the symptoms worse.
Possible symptoms of vulvar dystrophy are:
Your healthcare provider will ask about your symptoms and examine your genital area. Your provider may do a biopsy. If you have a biopsy, your provider will numb the area and take a small sample of skin. The sample will then be viewed in a lab with a microscope.
The treatment depends on the type of vulvar dystrophy you have.
In addition to using the medicine prescribed by your provider, you should try to avoid irritation of your vulva. For example, avoid use of strong or perfumed soaps, lotions, or deodorants in your genital area.
Avoiding irritation of your vulva and using the medicine prescribed by your healthcare provider should help your skin heal and help keep the problem from happening again.
If not treated, some types of dystrophy, such as lichen sclerosis, can cause scarring and shrinkage of the inner lips of the vulva. The vaginal opening may become smaller and might even close. Using the medicine prescribed by your provider will help prevent these problems.
Follow your healthcare provider's directions for using the prescribed medicine. Keep using the medicine for as long as your provider tells you to.
Other things you can do to help relieve irritation and your symptoms are: