Contact vulvovaginitis

Background

Labeled vulva, showing external and internal views.

Pelvic anatomy including organs of the female reproductive system.

• Contact dermatitis due to exposure of vulvar epithelium and vaginal mucosa to irritant or allergen
• Does not require history of sexual activity

Causes

1. Chemicals (bubble baths)
2. Poor hygiene
3. Allergic dermatitis
4. Parasitic infestation (pinworms)

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

Evaluation

• Diagnosis of exclusion
• Rule-out infectious cause first

Management

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

Disposition

• Outpatient

See Also

• Vulvovaginitis