Conditions - The Centers for Vulvovaginal Disorders

VIN

Vulvar Intraepithelial Neoplasia (VIN) is a precancerous skin condition of the vulva that is becoming increasingly common in women age of 40 and over. There are two pathways that lead to VIN and vulvar cancer: one related to HPV and another related to Lichen Sclerosus. The risk of developing vulvar cancer with untreated or sub-optimally treated lichen sclerosus is 4-6%. However, that risk decreases to baseline with adequate treatment. VIN is usually identified by visual inspection and there is no screening test at this time. Any suspicious areas are further evaluated with a vulvar biopsy, which is a minor in-office procedure.

Treatment

Treatment options include surgical excision, laser ablation, and topical medications.

Conditions we treat

Vulvodynia

Odyne was the "Greek goddess of pain." Therefore, the term vulvodynia literally means "vulvar pain." Vulvodynia is currently defined as "vulvar discom ...

Vulvar Vestibulitis

Vulvar vestibulitis syndrome (also know as vestibulodynia or vestibular adenitis) is a subset of vulvodynia that is characterized by severe pain duri ...

Lichen Sclerosus

The doctors at the Centers for Vulvovaginal Disorders (CVVD) have treated over 2,000 patients with lichen sclerosus. This up-to-date webinar presented ...

Lichen Planus

Lichen planus is an inflammatory, autoimmune disorder of the skin and mucous membranes. While there are multiple clinical variants that may involve th ...

Lichen Simplex Chronicus

Lichen simplex chronicus (aka: neurodermatitis, pruritis vulvae, squamous hyperplasia, and hyperplastic dystrophy) is the end stage of an itch- scratc ...

Hypertonic Pelvic Floor Muscle Dysfunction

This condition, also called levator ani syndrome or (and previously called vaginismus) is a common cause vestibulodynia (pain of the vestibule) and dy ...

Chronic Candidiasis

Almost all women, at least once in their lives, experience the uncomfortable symptoms of vaginal itching, burning, and discharge. It is common wisdom ...

Bacterial Vaginosis

Almost all women, at least once in their lives, experience the uncomfortable symptoms of vaginal itching, burning, and discharge. It is common wisdom ...

Endometriosis

Endometriosis (endo meaning "inside" and metra, “womb”) is a common cause of menstrual-related pelvic pain and pain with intercourse impacting up to 1 ...

Interstitial Cystitis

Interstitial Cystitis (IC), also called Painful Bladder Syndrome (PBS), is linked to dyspareunia (pain with intercourse) and is thought of as contribu ...

Desquamative Inflammatory Vaginitis (DIV)

Desquamative inflammatory vaginitis (DIV) is a fairly rare condition in the spectrum of different causes of vaginitis. It’s also one that that is poor ...

Human Papiloma Virus (HPV)

Human Papilloma Virus (HPV) is the most common sexually transmitted infection in the United States. There are many different types of HPV. Some of w ...

VIN

Vulvar Intraepithelial Neoplasia (VIN) is a precancerous skin condition of the vulva that is becoming increasingly common in women age of 40 and over. ...

Herpes and post-herpetic neuralgia

Genital herpes is a common sexually-transmitted infection caused by the Herpes Simplex Virus (HSV). It often causes painful blisters that may occur i ...

Pudendal neuralgia

Chronic pelvic pain involving the sensory distribution of the pudendal nerve is called pudendal neuralgia. This can be a severely painful and disablin ...

Persistent Genital Arousal Disorder (PGAD)

Persistent genital arousal disorder (PGAD), is associated with unrelenting, unwanted, persistent, intrusive, and spontaneous sensations such as pressu ...

Clitoral pain

“Clitorodynia” is an abnormal pain of the clitoris. Typical symptoms are a sharp, stabbing pain or a rawness/irritation of the clitoris that can be ex ...

Decreased libido (diminished sex drive)

The medical term for decreased libido is hypoactive sexual desire disorder (HSDD). HSDD is one of the most common forms of sexual dysfunction in women ...

Decreased arousal or decreased orgasm

Arousal is a physiological response to internal or external sexual stimuli. Genital arousal involves an increase in vulvovaginal lubrication, engorge ...

Chronic Pelvic Pain

Chronic pelvic pain describes pain anywhere below the umbilicus and between the hips that lasts for at least six months. There are many causes of chr ...

Plasma Cell Vulvitis

Plasma Cell Vulvitis (also known at Zoon’s vulvitis) is a very rare chronic, inflammatory disorder of the vulva. Bright red mucosal plaques on the vul ...

Aphthous Ulcers/ Behcet's Disease

Aphthous ulcers (also known at Lipschutz ulcers) are deep, painful genital ulcers with a yellow base that occur most commonly in young Caucasian women ...

Pruritis Vulvae (vulvar itching)

Pruritus vulvae simply refers to itching of the vulva. Persistent vulvar pruritis is relatively common and may have a number of causes, including vul ...

Vulvar Granuloma Fisuratum (recurrent tearing of the vulva)

Vulvar granuloma fissuratum describes recurrent splitting or tearing of the vulvar skin. It is often associated with vulvar skin conditions that caus ...

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