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Practice Bulletins #224 - Published July 2020 1. A systematic approach is required to evaluate and treat vulvar pain and pruritis. 2. In premenopausal women: contact dermatitis is most likely culprit. 3. In postmenopausal women: Genitourinary syndrome of menopause is your most likely culprit, and this relates to the natural increase in pH associated with the hypoestrogenic state. 4. Lichen sclerosus is best diagnosed through biopsy, because if left-untreated it can develop into vulvar squamous cell carcinoma 5. Topical steroids w/ topical anti-histaminic agents are the mainstay of therapy for inflammatory vulvar disorders.Show Notes Wine pairing: 2017 Chardonnay from Eighteen Eighty Three Theme music by Evan Handyside Logo design by JD Dotson (jddotson1@gmail.com)