Name of the Condition

• Ulceration of vulva
• Medical term: Vulvar ulceration

Summary

Ulceration of the vulva refers to the development of open sores or ulcers on the external female genitalia. These ulcers can cause discomfort and may arise from various conditions or infections.

Causes

• Sexually transmitted infections (STIs) such as herpes simplex virus
• Non-infectious conditions like Behçet's disease or lichen planus
• Injury or trauma to the vulva
• Autoimmune disorders
• Certain dermatological conditions

Risk Factors

• Having unprotected sex
• A history of STIs
• Autoimmune conditions
• Use of irritants or allergens in personal hygiene products

Symptoms

• Pain or discomfort in the vulvar area
• Open sores or ulcers
• Redness and swelling
• Itching or burning sensation
• Possible discharge if an infection is present

Diagnosis

• Physical examination by a healthcare provider
• Swab tests to identify infections
• Blood tests to rule out underlying systemic conditions
• Biopsy in uncertain cases

Treatment Options

• Antiviral or antibiotic medications for infections
• Topical steroids to reduce inflammation
• Pain management with analgesics
• Addressing underlying health conditions
• Proper genital hygiene practices

Prognosis and Follow-Up

• Prognosis varies depending on the underlying cause.
• Regular follow-ups are important to monitor healing and prevent recurrences.
• Early treatment typically leads to a better outcome.

Complications

• Chronic pain or discomfort
• Scarring and changes in vulvar tissue
• Spread of infection
• Impact on sexual health and quality of life

Lifestyle & Prevention

• Safe sex practices to reduce the risk of STIs
• Avoiding irritants and maintaining proper hygiene
• Regular healthcare check-ups
• Managing stress and maintaining a healthy immune system

When to Seek Professional Help

• Persistent or worsening pain in the vulvar area
• Non-healing ulcers
• Unusual discharge or bleeding
• Signs of an infection such as fever

Additional Resources

• American Sexual Health Association (ASHA)
• National Vulvodynia Association
• Planned Parenthood

Tips for Medical Coders

• Ensure specificity by confirming the diagnosis of vulvar ulceration.
• Beware of confusing codes related to STIs with non-infectious causes of vulvar ulcers.
• Correctly attribute the ICD code N76.6 to cases involving non-traumatic ulcers on the vulva.