vestibulitis
• The exact cause is unknown. HPV, herpes and even oxalate excretion have been blamed; however, no relationship was demonstrated with infectious agents. While these processes are not factors, they may be contributing. The definition of vulvodynia is now used instead of vulvar vestibulitis.
• Dyspareunia is the most important symptom. There are areas of vestibular erythema just outside the hymenal ring, typically at the 4 and 7 o'clock positions.
• Tricyclic antidepressants are the first choice drugs in treatment, and anticonvulsants can also be effective. Locally, cortisone pomades can be preferred. In very serious cases, a skinning vulvectomy may be required.
bartholinite
• There are two stages in the infection of the Bartholin gland. The first is the acute infection of the gland and its duct, and it is usually (60%) a mixed infection caused by aerobic and anaerobic microorganisms. E. coli is most commonly isolated. Involvement can also be seen frequently by N.gonorrhoeae or C. trachomatis; however, it should not be forgotten that there may be MRSA. As a result of canal obstruction, the second stage, abscess formation, occurs. Marsupialization is applied in the treatment of abscess. Simple incision and drainage often cause recurrent abscesses and cysts.
• Most of the vulvar adenocarcinomas develop from the Bartholin gland, so care should be taken in terms of cancer when diagnosing bartholinitis or Bartholin's abscess in elderly patients.
hidradenitis suppurativa
• Hidradenitis suppurativa is a refractory infection of the apocrine sweat glands, usually caused by staphylococci or streptococci. It is characterized by recurrent papular lesions that may lead to abscess, fistula formation and scarring of the vulva.
FOX-Fordyce Disease
• Localized in the lower abdomen, mons pubis, L. majus and between the legs, in the apocrine glands, They are chronic itchy, rash, papules and cysts characterized by keratin plaques.
Epidermal Inclusion Cysts
• Cysts that develop secondary to poorly healed wounds after episiotomy or trauma
acrochordon
• They are usually tumors located in the posterior forch. Also known as fibroepithelial polyp. There is no malignant potential, simple excision is applied.
The most common wlvar lesion in adolescence is the vulvar condyloma.
Systemic diseases that can cause vulvar lesions: Diabetes, obesity, insulin resistance-causing diseases such as PCOS (Acanthosis Nigricans), Crohn's disease and Behçet's disease.