Vulvar Diseases

The vulva is the external genitalia of the woman. It includes the labia, the clitoris, the urethral orifice and the vaginal vestibule. It is a complex organ with many functions. It forms the barrier to the vagina and the internal genitals, is important for the defense against infections and plays an essential role in the sexual experience.

Unfortunately, the vulva is still a taboo subject in our society. Often the correct diagnosis is preceded by years of suffering. Vulvar complaints are common: itching (pruritus), burning and pain, but also discomfort during sexual intercourse (dyspareunia) considerably restrict the quality of life of those affected. The causes of the complaints vary widely and require careful diagnostics and the clinical experience of the examiner. Due to the special location of the vulva at the transition from the outer skin to the mucous membrane, the vulva consists of different skin types, which makes it susceptible to a variety of dermatological diseases. Many clinical pictures such as lichen sclerosus, lichen planus or lichen simplex, eczema, infections or pain (vulvodynia and vaginismus) can be treated well with the right therapy. However, complaints can also occur due to precursor lesions of cancer, the vulvar carcinoma. With the appropriate diagnostics and treatment in time, vulvar carcinoma can be prevented.

The vulva is considered as a symbol of female sexuality. The sensitive nervous system of the clitoris and the labia minora play a major role in the sexual experience. Size, color and shape of the vulva are individually and show a great variation. There are no 'standards' for what a vulva should look like. We gynecologists should point out these individual differences and support women in accepting their own bodies and their body perception. In the media, the 'childlike vulva' is increasingly stylized as the ideal of beauty. This leads to insecurity, especially among young women, which is reflected in the increasing number of plastic-reconstructive procedures on the external genitals.

Break your taboos! Talk to us about your complaints and needs; we will be happy to advise you.