Vulvar dermatoses may be manifested by itching and, in some cases, pain ( Figures 3 through 5 ) . Vulvar dermatoses include papulosquamous (thick and scaly) lesions. Erosions or ulcers may result from excessive scratching. If the patient has blisters or ulcers and denies scratching, the cause may be a vesiculobullous disease. Differential diagnoses of papulosquamous lesions and vesiculobullous lesions are included in Table 2 . 6 Neoplastic lesions include extramammary Paget's disease, squamous cell carcinoma, lichen sclerosis and vulvar intraepithelial neoplasia. 6 Colposcopy and biopsy as indicated are recommended to rule out dermatoses or neoplastic lesions ( Figure 6 ) . A recent study showed the most common cause of symptomatic vulvar disease (itching or burning) to be dermatitis or another dermatosis. 18
I was finally diagnosed with LS about 3 years ago, I’m sure i have had it much longer. Like many others, I have suffered with lack of lubrication, itching, tears, etc. I have a long term partner of over 30 years, we haven’t had sex for more than 2 years this time. Can anyone give feedback on the use of Vaginal Dilators. I would like to try them, and the Dermatologist and Doctor at the GU cloinic agreed it would be a good idea. I just wondered if anyone has experienced any side effects, good or bad. Any feedback will be appreciated.