vulvulitis

definition

causes

risk factors

Symptoms

is the inflammation of the soft skin on the outside of the female genitalia

colored or perfumed toilet paper

vaginal sprays or douches

shampoos and hair conditioners

laundry detergents

topical creams and medications

bubble bath or soap used on the genitals

spermicides

sanitary napkins

itching, redness, burning, and swelling

soreness, and thickened or white patches

vaginal discharge

Diabetes mellitus

Scabies or pubis lice

Eczema or dermatitis Underlying STI

diagnostic tests

Skin scrapings in the case of dermatitis

Vulvar swabbing for culture and sensitivity

Routine urinalysis to rule out sexually transmitted infections

Blood tests in the case of systemic infections and suspected diabetes mellitus

management

Sitz bath is usually ordered with 1:30 dilution of savlon

Application of low dosage of steroid ointment may be used when prescribed

Antifungal, hydrocortisone and oestrogen creams may relieve symptoms

health education

Discourage the use of products that could be irritating like vaginal sprays, topical creams, laundry detergents, sanitary napkins, spermicides, douches etc.

Nurse should teach the patient about the good personal hygiene

An emphasis on front-backward wiping should be stressed to avoid faeces coming to the vulvar

Patient should be advised to wear cotton absorbent underwear and change it daily or anytime necessary