Vaginal complaints

Vulvar and vaginal abnormalities can cause a lot of discomfort and a good diagnosis is therefore essential. Women's Healthcare Center Amsterdam (WHC) can both diagnose and provide treatment and aftercare.

Possible causes of vaginal complaints

There are several abnormalities of the vulva and vagina that are common:

Skin abnormalities

Skin lesions, such as Lichen sclerosus et atrophicus, can lead to vulvar disorders and even cancer. Treatment consists of lifelong use of corticosteroid creams supplemented with fatty creams, also called emollients.

Paget

Paget's disease is characterized by red-white patches on and around the vulva, with itching and a burning sensation. Diagnosis is made by tissue sampling, followed by microscopic examination. Treatment involves removing the patches because of the risk of vulvar cancer.

STD

Sexually transmitted diseases (STDs), such as genital warts (condylomata) and herpes simplex (genital herpes), can also cause vulvar abnormalities. Genital warts can cause pain, itching, and discharge. Treatment can range from applying liquid to freezing or even surgery.

Fluor vaginalis

Fluor vaginalis, also called vaginal discharge, is caused by a disruption of vaginal acidity. The causes can range from hormonal changes to diabetes, antibiotics, poor hygiene, infections or excessive soap use.

Treatment depends on the cause:

• Candida: Non-odorous, white, crumbly discharge with burning and itching.
• Bacterial vaginosis: Increased number of normal bacteria, with a characteristic odor. Treatment with antibiotics.
• Trichomonas: Yellow-green discharge, often with itching or irritation. Treatment with antibiotics.

Treatments for vulvar and vaginal abnormalities

Diagnosis of vaginal discharge is done by clinical and microscopic examination. Treatment often includes creams, ointments, tablets or suppositories, depending on the severity and cause.

Specialist in women's care

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