Aunt Vadge: strange divot in clitoral hood

A woman has a small mark out of her clitoral hood. What is it?

Urethral prolapse

Urethral prolapse is an uncommon condition that is treatable in most cases, with very good outcomes. The urethra or part of the sleeve of the urethra protrudes out, causing discomfort and urinary issues.

Labial adhesion

Labial adhesion occurs for an unknown reason in young girls, and generally resolves itself, however it may need intervention. Intervention is reasonably straightforward, and includes oestrogen creams.

Marsupialisation of a Bartholin (vestibular) gland cyst

This surgery involves cutting open a Bartholin's duct cyst, and suturing the walls to allow draining.

Marsupialisation of a vaginal cyst

Marsupialisation is a surgical technique whereby a slit is cut into an cyst and the edges are sewn onto other skin to keep it open.

Gartner’s duct cysts

Gartner's duct cysts are caused by a duct that should no longer exist after we are born, that causes a cyst to develop inside the vagina.

Ureterocele

Ureteroceles are a birth defect affecting the ureters, resulting in problems with urine flow. The connection point of the bladder and lower ureters becomes swollen, and urine flow is blocked, causing the ureters to expand like a water balloon.

Aunt Vadge: tampon starts to fall out after 15 mins

A 15-year-old is having trouble with tampons falling out. See how she can fix it.

Aunt Vadge: pain, yellow discharge, spotting, not resolved by Dalacin

Lactobacillus overgrowth syndrome not responding to strong antibacterials prescribed - what now?

My vulva seems to smell a bit at the end of the day – do I still have BV?

She's gone through successful BV treatment, but she's not sure if she's really cured because she doesn't know what's normal anymore.

Aunt Vadge: Is a hymen flap sticking out?

A 15-year-old girl is having a weird time with her hymen - did it grow back?

Cancer treatments

Vaginal, vulvar and pelvic cancer therapies depend on the type, spread and stage of cancerous growths. Treatments for early stage cancer may include simply removing the cancer, but may involve invasive or cell-damaging treatments like chemotherapy or radiotherapy.

Paget’s disease of the vulva

Paget's disease of the vulva is a rare form of vulvar cancer that develops from glandular cells. Paget's looks like a rash, red velvet with small white or pink 'islands' on vulvar tissue that may ooze or bleed. Paget's is often itchy and sore. Prognosis can be good if found

Aunt Vadge: white bumps inside my vagina lips

A woman with frequent infections - UTIs, yeast, BV, an STI - has some white spots on her inner upper labia.

Aunt Vadge: dry humping has triggered vulvodynia – why?

She's been diagnosed with vulvodynia and is blaming herself after dry humping with her boyfriend. What's happening to her?

Aunt Vadge: black area in vulva after fingering

Is the blackened area around the vaginal entrance aftering fingering her hymen?

Study: Replens – a review for BV symptoms and vaginal pH (spoiler – it doesn’t work that well)

Replens does not significantly alter vaginal pH, and is not a treatment for BV, however may improve some symptoms.

Lactobacillus overgrowth syndrome (cytolytic vaginosis)

Got a recurrent yeast infection that doesn't respond to antifungals? Maybe you have lactobacillus overgrowth syndrome. Cytolytic vaginosis looks and feels like a yeast infection, but typical treatments just don't work, because it's not yeast. It's your good bacteria gone wild!

Skoptic syndrome – genital self-mutilation

Why would someone want to cut their own genitals off? Skoptic syndrome is a part of psychological impairments whereby the urge to cut off one's own genitals is very strong.

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