What causes vaginal ulcers?

Ulcers can occur in many parts of the human body, including the female genitals. This usually refers to vulvar ulcers. The patient's vulvar skin and mucous membranes will be damaged and easily become edematous, and the skin color will also change. Not only that, female patients will have many symptoms such as itching and pain in the vulva. Severe cases may be accompanied by systemic symptoms such as fever. So what are the causes of this disease?

What causes vaginal ulcers?

The vulva is close to the urethral opening and anus, and is often contaminated by leucorrhea, menstrual blood, urine, and feces. Infants and postmenopausal women have low estrogen levels and fragile vulvar skin and mucous membranes. Women of childbearing age have frequent sexual activities. Wearing tight synthetic underwear and sanitary napkins that result in poor local permeability can all lead to infection by pathogens and cause lesions. The pathogens that cause vulvar ulcers include bacteria, fungi, and viruses. Behcet syndrome may cause ulcers on the vulva, mouth, and eyes.

examine

1. Smear and culture of secretions.

2. Serological examination.

3. Histopathological examination.

Differential Diagnosis

1. Nonspecific vulvitis

No specific pathogen was found. Chronic cases are accompanied by thickening, roughness, cracking and lichenification of the vulvar skin.

2. Candidiasis

Bean curd-like leucorrhea can be seen, and yeast hyphae and spores can be found in vaginal secretions.

3. Syphilis

Accompanied by systemic lesions of the skin, mucous membranes and other organs, specific serum blood tests can confirm the diagnosis.

4. Genital herpes

Erosions or ulcers form after papules and blisters, accompanied by systemic symptoms such as pain and fever, which may recur. The pathogen is herpes simplex virus. Laboratory tests confirmed the virus.

5. Vulvar tuberculosis

It is rare and is usually accompanied by tuberculosis lesions in other parts of the body. There is no obvious inflammatory change such as redness or swelling around the ulcer. Tuberculin test and local biopsy can confirm the diagnosis.

6. Vulvar cancer

Biopsy confirmed the diagnosis.

treat

1. Treatment of the cause

Specific systemic and local treatments are provided for different causes. Drug treatment includes antifungal, antiviral, antituberculosis, antisyphilitic, etc.

2. Local treatment

(1) Keep the vulva clean and dry. You can use appropriate medicated liquid for sitting bath.

(2) Apply medicine to the affected area. For different pathogens, you can use Daktarin cream (fungal infection), acyclovir cream (viral infection), etc.

(3) Local physical therapy can help heal some vulvar ulcers.