Vulvar Changes

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Vulvar Changes
Vulvar Changes
Video: Vulvar Changes
Video: Why ask about vulval health? Presentations in clinical practice 2023, February

Vulvar changes

Pathological changes in the area of ​​the external female sexual organs come in various forms. These range from unpleasant but relatively harmless inflammation to regression or malformations, ulcers, injuries and cysts to benign or malignant tumors. Many of these diseases can occur at any age - even in children and adolescents.


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  • ">Disease forms & symptoms


  • diagnosis
  • early detection
  • Whom can I ask?
  • How are the costs going to be covered?


The vulva consists of the pubic mound, the small and large labia, the clitoris and the vaginal vestibule. Changes can often be recognized at an early stage as part of regular early diagnosis examinations by the gynecologist. Appropriate treatment can often prevent severe courses and complications.

Disease forms & symptoms

Vulvar changes can occur in different forms, especially:

  • Inflammation of the vulva (vulvitis),
  • Vulvar dystrophy and craurosis I would consider
  • Include lichen sclerosus et atrophicus
  • Regression of the vulvar skin (vulvar dystrophy),
  • Malformations of the vulvar skin (craurosis vulvae),
  • Injuries,
  • Cysts as well
  • benign and malignant tumors.

Depending on the underlying disease, a variety of complaints can occur in the genital area, for example:

  • Itching,
  • Burn,
  • Pain,
  • Swelling,
  • Redness,
  • increased discharge as well
  • Nodules or growths.

In addition, the inguinal lymph nodes may be swollen. A fever is also possible.


The anamnesis and gynecological examination play a central role. For more information, see the gynecologist visit. If necessary, the vagina is examined under magnifying glass (colposcopy). In the case of infectious changes, the pathogen can be identified with a vaginal swab. display

If the vulvar changes are unclear - especially if vulvar cancer is suspected - a tissue sample (biopsy) is examined.

early detection

With regular gynecological early detection examinations, many vulvar changes can be detected early. Adequate treatment can often prevent severe courses and complications.

In principle, gynecologists recommend careful but gentle intimate hygiene - showering with lukewarm water once a day is completely sufficient. Too frequent bathing in foam baths and the use of soaps and deodorants in the intimate area, however, damage the vaginal environment and thus promote the development of infections. When using the toilet, it is important for women to always wipe from front to back.

Infectious vulvar changes can usually be prevented through consistent use of condoms. In addition, condoms protect against many sexually transmitted diseases.

Whom can I ask?

If you experience symptoms or changes in the genital area, you should immediately contact a gynecologist.

How are the costs going to be covered?

All necessary and appropriate therapeutic measures are taken over by the health insurance carriers. Your doctor or the outpatient clinic will generally settle accounts directly with your health insurance provider. With certain health insurance providers, however, you may have to pay a deductible (BVAEB, SVS, SVS, BVAEB).

However, you can also use a doctor of your choice (ie doctor without a health insurance contract) or a private outpatient clinic. For more information, see Costs and Deductibles.

If a hospital stay is required, the hospital costs will be invoiced. The patient has to pay a daily contribution to the costs. Further medication treatment at home takes place by prescription from the general practitioner or specialist.

For more information, see What does a hospital stay cost?

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