History

A complete history of the vulvar problem will include the following:

• Presence, location, and duration of symptoms such as itching, burning, pain, discharge, and visible or palpable lesions

• Aggravating factors such as sexual activity, tight clothing, topical products, and exercise

• Attempts at self-treatment

• All exposure to potential contact irritants including soap, bubble baths, baby wipes, menstrual products, underwear fabrics, and lubricants

It is also important to inquire about potential symptoms of the oral mucosa and other skin sites as well as past medical and gynecologic history.

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