Problems with the skin on the vulva (the area of skin around the entrance to the vagina) affect some women, usually causing pain or itch which may be severe and disabling. These problems become more common after women pass through their menopause. Some of these problems are simple e.g. thrush or hormone deficiency, while others, such as eczema or psoriasis, are more difficult to diagnose and treat.
I have a particular interest in these conditions and ran a specialised service at St George Hospital for several years. I am regularly referred difficult problems of this nature by other gynaecologists in the St George area. Effective treatment of these problems requires thorough investigation and close monitoring to ensure a successful outcome. Most women will get a marked improvement in symptoms with time but may need long term follow-up and therapy.