Contact vulvovaginitis

Background

• Due to exposure of vulvar epithelium and vaginal mucosa to chemical irritant or allergen
• May occur in virgins

Differential Diagnosis

Vulvovaginitis

• Bacterial vaginosis
• Candida vaginitis
• Trichomonas vaginalis
• Contact vulvovaginitis
  • Bubble baths and soaps
  • Deodorants, powders, and douches
  • Clothing
• Atrophic vaginitis due to lack of estrogen (AKA Vulvovaginal atrophy)
• Lichen sclerosus
• Tinea cruris
• Chlamydia/Gonorrhea infection
• Pinworms
• Vaginal foreign body
  • Toilet paper
  • Other
• Genitourinary syndrome of menopause
• Foreign body
• Allergic reaction
• Normal physiologic discharge

Diagnosis

• Diagnosis of exclusion
• Rule-out infectious cause first

Management

• Consider topical corticosteroids applied BID-TID x2-3d

See Also

• Vulvovaginitis

Source

Tintinalli