Background: Vulval diseases are common, but their frequency and importance are often underestimated. Objective: The study intended to evaluate the number of patients with vulval diseases seen in medical practice. Furthermore, the acceptance of an interdisciplinary vulval disease clinic, managed by a dermatologist in cooperation with a gynaecologist and a psychologist, was evaluated. Methods: In April and Mai 1998, a mailing survey of all gynaecologists (n = 239), general practitioners (n = 244) and dermatologists (n = 96) in Thuringia, Germany, containing 7 questions concerning patients with vulval diseases was performed. Results: 49% (n = 286) of the questionnaires were returned. On average, 97% of the physicians regularly treated females with genital diseases. The most common diseases mentioned by all specialities were local fungal and bacterial infections. The further ranking of diagnosis was different between the specialities. It was estimated that 83% of patients with chronic disorders would develop additional psychological problems. The necessity of an interdisciplinary vulval disease clinic in Thuringia was stated by 71% of the interviewed physicians. 76% of the gynaecologists and 75% of the general practitioners welcomed the introduction of the clinic. Interestingly, only 51% of the dermatologists felt that a vulval disease clinic was necessary. Conclusion: The majority of the physicians in Thuringia welcomed an interdisciplinary vulval disease clinic to improve the conditions for women suffering from genital diseases.

1.
Lynch PJ: Vulvodynia: A syndrome of unexplained vulvar pain, psychologic disability and sexual dysfunction. J Reprod Med 1986;31: 773–779.
2.
Ridley CM: Dermatological conditions of the vulva. Baillières Clin Obstet Gynaecol 1988;2: 317–339.
3.
Stewart DE, Reicher AE, Gerulath AH, Boydell KM: Vulvodynia and psychological distress. Obstet Gynecol 1994;84:587–590.
4.
Mroczkowski TF: Vulvodynia – A dermatovenereologist’s perspective. Int J Dermatol 1998;37:567–569.
5.
Seifert-Ibach C, Lermer E, Szemies RM, Landthaler M: Interdisziplinäres Vorgehen bei Patientinnen mit Vulvaerkrankungen. Allergologie 1997;12:639.
6.
Carr PL, Felsenstein D, Friedman RH: Evaluation and management of vaginitis. J Gen Intern Med 1998;13:335–346.
7.
Sobel JD: Vaginitis. N Engl J Med 1997;337: 1896–1903.
8.
Fischer GO: The commonest causes of symptomatic vulvar disease: A dermatologist’s perspective. Australas J Dermatol 1996;37:12–18.
9.
Friedrich EG, Burch K, Bahr JP: The vulvar clinic: An eight-year appraisal. Am J Obstet Gynecol 1979;135:1036–1040.
10.
Heller DS, Randolph P, Young A, Tancer ML, Fromer D: The cutaneous-vulvar clinic revisited: A 5-year experience of the Columbia Presbyterian medical center cutaneous-vulvar service. Dermatology 1997;195:26–29.
Copyright / Drug Dosage / Disclaimer
Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher.
Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.
You do not currently have access to this content.