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Not All Vaginal Itching Is a “Fungus Among Us”

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Recurrent or persistent vaginal itching is a common problem. If antifungals have not been effective, ask the patient, while she is in the stirrups, to point to the pruritic spot or touch it with her finger.

Recurrent or persistent vaginal itching is a common problem. If antifungals have not been effective, ask the patient, while she is in the stirrups, to point to the pruritic spot or touch it with her finger. Particularly in postmenopausal women, close inspection often reveals one of the following conditions: lichen sclerosis, contact dermatitis, lichen simplex chronicus or, most important, a subtle (or not-so-subtle) vulvar cancer.

-- Christine Jones, NP
         La Quinta, Calif

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