What is it?

Vulvar ulceration refers to a condition which is characterized by breaks in the skin around the vagina or in the mucous membranes of the vulva. Causes for vulvar ulcers may include sexual interactions, sextual transmitted infections, injury and irritation to the vulva. Acute reactive ulcers are caused due to another illness, are usually painful but go away after a few weeks. Recurrent ulcers may appear regularly, usually around regular times such as before menstruation and are typically smaller. Vulvar ulcers may also be the cause of autoimmune conditions such as Behchet disease, bacterial infections, conditions that cause diarrhea, viral infections such as EBV, mumps or HIV and parasitic infections.

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Signs & symptoms

Symptoms may include pain, burning sensation during urination or intercourse, rash, itchiness, difficulty urinating, fever, pelvic pain and unusual vaginal discharge.


Diagnosis is based upon findings from medical history and pelvic examination. Further evaluation may include tests for infections in urine samples, blood tests or swab tests.


Treatment depends on the underlying cause and may include proper hygiene, pain medication, topical creams, antibiotics, and steroids.

☝️ This is not a substitute for professional medical advice. Please consult with your physician before making any medical decision.

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