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Vulval care — DRCOG MCQ

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HardGynaecologyVulval careDRCOG

A woman has recurrent vulval irritation; infection testing is negative and symptoms worsen after using perfumed washes and wipes. What is the most appropriate advice?

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Correct answer: E — Avoid irritants and use bland emollient as soap substitute

The best answer is “Avoid irritants and use bland emollient as soap substitute”. Irritant contact dermatitis is common in vulval symptoms and perfumed products, wipes, antiseptics and excessive washing can perpetuate it. Avoidance of irritants with bland emollient skin care is a practical first step. Persistent, focal, erosive or atypical disease needs examination and further assessment rather than repeated empirical infection treatment.

Reference: RCOG: Skin conditions of the vulva: https://www.rcog.org.uk/for-the-public/browse-our-patient-information/skin-conditions-of-the-vulva/