Genitourinary syndrome of menopause (atrophic vaginitis)
Genital warts (condylomata acuminata)
Women exposed to diethylstilbestrol (DES) in utero are at increased risk of clear cell carcinoma of the cervix and vagina.
Seminal plasma allergy typically presents with systemic anaphylaxis, although primarily local symptoms may also occur. With local reactions, symptoms include vulvovaginal pruritus and edema. In addition, symptoms are typically associated with recent sexual activity, and condom use is protective.
Topical corticosteroids are the treatment for desquamative inflammatory vaginitis, which often presents with copious watery discharge. In contrast to this patient, those with desquamative inflammatory vaginitis have an inflamed erythematous vagina on pelvic examination and a predominance of leukocytes on wet mount microscopy.
pinworms can cause vulvovaginitis in some cases
Desquamative inflammatory vaginitis can cause vulvar pain and abnormal vaginal discharge. However, vulvar architecture is maintained (eg, no erosive vulvar lesions), and concomitant oral lesions would not be expected.
Sarcoma botryoides, a type of embryonal rhabdomyosarcoma, can present as a genitourinary mass, but it is typically vaginal and exclusively diagnosed in infants, not postmenopausal patients.
