Vaginal Itching


  • Older Female with vaginal itching
  • Burning, Frequency
  • Vaginal Dryness, Decreased elasticity
  • +/- Excoriations

Urinalysis
(+)
(-)
ABx,
Culture Urine
Punch Biopsy
(+)
(-)
Lichen Sclerosis Squamous Hyperplasia Squamous cell Cancer Atrophic Vaginitis
HIGH POTENCY Steroid Cream/Oint
(Clobetasol topical 0.05% crm, apply to affected area bid, # 60g)
Florinated Corticosteroid Crm +/- Surgery Estrogen Cream

 

Ref: Tintinalli EM 7th ed