Skin Conditions of the Vulva

If you’re experiencing persistent vulval itching, irritation, painful lesions, or any other unusual skin changes, you are not alone. Grosvenor Gardens Healthcare offers discreet, specialist care for a wide range of vulval skin conditions. Our team of experienced gynaecologists and healthcare professionals is committed to delivering personalised, compassionate support from your very first appointment through to treatment and follow-up.

Why Choose Grosvenor Gardens Healthcare?

• Extensive Clinical Expertise
  Our consultants have managed numerous vulval conditions, from common issues like contact dermatitis to more complex disorders such as lichen sclerosus, lichen planus, and vulvodynia.
• Individualised Assessments
  We recognise that each patient’s symptoms and concerns are unique. We take time to explore your medical history, lifestyle factors, and possible triggers so we can tailor investigations and treatments specifically for you.
• Modern Diagnostic Techniques
  We use up-to-date diagnostic methods—including vulval examinations, skin swabs, patch testing, and biopsies (where indicated)—to accurately identify the underlying causes of vulval skin changes.
• Continuity of Care
  Whether you require a single consultation or ongoing management for a chronic condition, our team provides supportive follow-up appointments to track your progress.
• Two London Clinics
  We welcome you at Dulwich or Belgravia, whichever is more convenient, providing a respectful, private environment throughout your care journey.

Common Vulval Skin Conditions We Treat

Vulval skin disorders can present in many forms, and symptoms vary in severity. Some of the most frequently encountered conditions include:

1. Lichen Sclerosus
• Chronic inflammation leading to white, patchy, often fragile skin.
• May cause intense itching, burning sensations, or soreness.
• Can lead to scarring if untreated.
2. Lichen Planus
• An inflammatory condition affecting the vulva (and sometimes other mucosal surfaces).
• Can appear as red, purple, or white lesions, causing discomfort and potential erosions.
3. Vulvodynia
• Persistent vulval pain with no obvious cause on examination.
• Pain may be constant or triggered by touch, intercourse, or exercise.
4. Contact Dermatitis & Allergic Reactions
• Red, itchy, or blistering rashes, often linked to soaps, detergents, or personal care products.
• May resolve quickly once the irritant is identified and removed.
5. Vulval Psoriasis & Eczema
• These common skin conditions can affect the vulval area, leading to redness, flaking, or itching.
• Can be triggered by hormonal changes, stress, or external irritants.
6. Infections (Fungal, Bacterial, or Viral)
• Yeast infections (e.g., thrush), bacterial overgrowth, or STIs can cause rashes, sores, and discharge.
• Prompt diagnosis and treatment can relieve symptoms and prevent recurrence.

Recognising Symptoms & When to Seek Help

Vulval skin conditions don’t always present the same way. You should consider seeking medical advice if you notice:

• Persistent itchiness, burning, or soreness
• White, thickened, or patchy skin that tears easily
• Redness, swelling, or rashes that don’t improve with simple self-care
• Lesions or ulcers that are painful, slow to heal, or bleed
• Unexplained lumps, bumps, or growths
• Discomfort or pain during intercourse (dyspareunia)

Early diagnosis and treatment often result in significantly better outcomes and can help you avoid complications such as scarring or chronic pain.

Your Consultation & Diagnostic Journey

1. Thorough Discussion & History
   We begin with a comprehensive review of your symptoms, lifestyle, and relevant medical history. Certain factors—like specific soaps, detergents, or clothing—can contribute to vulval skin irritation.
2. Physical Examination
   A gentle, focused vulval examination allows our specialists to identify any visible abnormalities. We aim to make this process as comfortable and dignified as possible.
3. Investigations
• Swabs or Patch Testing: If an infectious or allergic cause is suspected, we can perform lab tests to confirm bacterial, fungal, or allergen involvement.
• Biopsies: In cases where lichen sclerosus, lichen planus, or other chronic conditions are suspected, a small skin sample may be taken under local anaesthetic for examination by a pathologist.
4. Accurate Diagnosis
   Combining clinical findings with test results enables us to form a precise diagnosis, paving the way for an effective treatment plan.

Tailored Treatments & Ongoing Management

Medical & Topical Therapies

• Topical Steroids or Immunomodulators: Often used for inflammatory conditions like lichen sclerosus or severe eczema to reduce itching and inflammation.
• Antifungal or Antibacterial Medications: If an infection is identified, topical or oral medications can swiftly alleviate symptoms and clear the infection.
• Hormonal Treatments: In some cases—particularly around perimenopause or postmenopause—oestrogen creams may help maintain healthy vulval tissue.

Lifestyle & Self-Care Guidance

• Gentle Hygiene: We advise mild, fragrance-free products to minimise irritation.
• Clothing Choices: Loose-fitting cotton underwear can help reduce friction and skin dryness.
• Stress Management: Emotional wellbeing can play a role in skin flare-ups, so relaxation techniques or counselling may assist in controlling stress-related triggers.

Specialist Referrals & Support

• Physiotherapy or Pain Clinics: Chronic pain conditions like vulvodynia may benefit from pelvic floor therapy or multidisciplinary pain management.
• Psychological Support: Ongoing discomfort can affect mood and relationships. In such cases, counselling or therapy may provide valuable coping strategies.
• Long-Term Monitoring: For chronic or recurring conditions, follow-up appointments allow us to fine-tune treatments, monitor healing, and address any new concerns.

Book Your Private Appointment

Living with vulval skin conditions can be challenging and sometimes distressing—both physically and emotionally. At Grosvenor Gardens Healthcare, our priority is to diagnose, treat, and support you in regaining comfort and confidence.

Contact us today to arrange a confidential consultation at either our Dulwich or Belgravia clinic. Let our dedicated gynaecology team help you find the most effective path to relief and better vulval health.

Other Services we offer: 

Private Gynaecologists

Private GP

Private Paediatrician

Private Obstetrician & Maternity Hospital

Private Colposcopy