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  • Title: Vulvovaginal Issues in Mature Women.
    Author: Marnach ML, Torgerson RR.
    Journal: Mayo Clin Proc; 2017 Mar; 92(3):449-454. PubMed ID: 28259230.
    Abstract:
    Mature women often present with symptomatic vulvovaginal atrophy and vulvar dermatoses, causing noncoital pain, dyspareunia, and sexual changes. Diagnosis of these conditions can be challenging, and long-term management is required to decrease morbidity and enhance quality of life. Vaginal estrogen therapies remain safe and effective for treating symptomatic vulvovaginal atrophy. A vulvar biopsy is easy to perform and generally well tolerated when indicated for the diagnosis of lichen simplex chronicus, lichen sclerosus, and lichen planus. Therapy with moderate- to high-potency corticosteroids is effective for these frequently debilitating conditions.
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