Postmenopausal vulvar pruritus--colposcopic diagnosis and treatment.
Vulvar pruritus is a common symptom in post-menopausal women and treatment is easy if the diagnosis is duly recognized. The purpose of this study is to show the importance of colposcopic examination and directed biopsies in 27 post-menopausal women with pruritus. Biopsy sites were selected by colposcopy. The prevalence of vulvar pruritus, vulvar pathologies, vulvar dystrophies and vulvar intraepithelial lesions (VIN) were 2.18%, 1.49%, 0.94% and 0.07% respectively. Vulvar dystrophies were treated by topical steroids and success rate was 100%. All patients with vulvar pruritus need examination under colposcopy to define optimal therapy and to exclude atypia or malignancy.
Sener
A B
AB
Department of Menopause, Dr. Z.T.B. Women's Hospital, Ankara, Turkey.
Kuscu
E
E
Seckin
N C
NC
Gökmen
O
O
Taner
D
D
Cobanoglu
O
O
Zorlu
G
G
D000305:Adrenal Cortex Hormones / Q000008:administration & dosage / Q000627:therapeutic use; D000328:Adult; D000368:Aged; D018931:Antineoplastic Agents, Hormonal / Q000008:administration & dosage / Q000627:therapeutic use; D001706:Biopsy / Q000295:instrumentation; D002908:Chronic Disease; D003127:Colposcopy / Q000379:methods; D005260:Female; D006801:Humans; D008875:Middle Aged; D017698:Postmenopause; D011539:Pruritus Vulvae / Q000175:diagnosis / Q000473:pathology* / Q000628:therapy*; D013739:Testosterone / Q000008:administration & dosage / Q000627:therapeutic use; D016896:Treatment Outcome
D000305:Adrenal Cortex Hormones; D018931:Antineoplastic Agents, Hormonal; D013739:Testosterone