The Vulva Physiology and Clinical Management, Second Edition

A unique compilation of expertise on anatomy, physiology, clinical issues, and current research, this textbook analyzes the range of presentation with age, ethnicity, symptoms, disorders, diagnoses, and toxicity. The second edition of this essential resource for anyone taking care of female patients has been doubled in scope to include additional chapters. All physicians, whether dermatologists or gynaecologists, as well as those researching the scientific evidence and symptoms, will benefit from the experience of the expert contributors and editors gathered here.

Contents DedicationForewordPrefaceAcknowledgmentsContributors I Anatomy and Physiology1 Anatomy of the vulvaAikaterini Deliveliotou and George Creatsas2 Tissue structure and physiology of the vulvaMiranda A. Farage and Howard I. Maibach3 Changes in the vulva and vagina throughout lifeMiranda A. Farage, Howard I. Maibach, Aikaterini Deliveliotou, and George Creatsas4 Microbial ecology of the vulvaCatherine C. Davis and Ronald W. Berg5 Vulvar ethnic differences: An overviewYing Zou and Howard I. Maibach6 Vulvar and extragenital clinical sensory perceptionMiranda A. Farage, Kenneth W. Miller, Denniz Zolnoun, and William J. Ledger7 The menstrual cycle, the composition of menses, and the effect of menses on the skinMiranda A. Farage, William H. Hood, and Paula J. Adams Hillard8 Characterization and treatment of lochia: A reviewMiranda A. Farage, Ninah Enane-Anderson, Narlha Munoz, Orlando Ramirez-Prada, and William J. Ledger9 Biomolecular markers and physical measures in the urogenital areaMiranda A. Farage, Ken Wehmeyer, Gina Fadayel, Stacey Carpenter, Richard Cheng, Baiyang Wang, and William J. Ledger II Management of Clinical Issues: Disorders, Diagnoses, Symptoms, Toxicity, and Therapies10 Are vaginal symptoms ever normal?Matthew Anderson and Alison Karasz11 Common diseases of the vulvaDiane Elas and Colleen K. Stockdale 12 Which women develop vulvar cancer?Allan Maclean13 Vulvar cancer and post vulvectomy complicationsChristos Iavazzo and Ioannis D. Gregkes14 Dermoscopic and confocal microscopy patterns of vulvar mucosal melanotic maculesElvira Moscarella, Elisa Cinotti, Jean Luc Perrot, and Giuseppe Argenziano 15 Vulvar procedures: biopsy and Bartholin abscess treatmentAllison Jackson, Danielle Cooper, and Edward J. Mayeaux, Jr16 CondylomaJames Cook, James Ferguson, and Edward J. Mayeaux, Jr 17 Vulvar seborrheic keratosis Jason C. Reutter 18 Vulvar oedema diagnosis Katherine Gilmore and Jane Hussey 19 Vulvar/vaginal atrophy: A review Rosella E Nappi and Barbara Gardella 20 Female-specific pruritus Michael Joseph Lavery, Carolyn Stull, Shoshana Korman Grossman, and Gil Yosipovitch 21 Vulvar lichen sclerosus Jill M. Krapf and Andrew T. Goldstein 22 Seborrheic keratosis: Pathogenesis, histopathology and clinical aspectsDevinder Mohan Thappa and Munisamy Malathi23 VulvodyniaNancy A. Phillips, Lauren D. Arnold, and Gloria A. Bachmann 24 Impact of urinary incontinence and urogenital atrophy on the vulvaSushma Srikrishna and Linda Cardozo25 Fecal incontinenceKevin Kniery, Vanessa P. Ho, and Scott R. Steele26 The menstrual cycle and the skinBirgit Drexler, Michael Landthaler, and Silvia Hohenleutner27 Women’s perceptions of sensitive vulvar skin during different life stages Miranda A. Farage 28 Dermatotoxicology of the vulvaChristina Y. Wang and Howard I. Maibach 29 Allergic contact dermatitis of the vulva Cody J. Connor 30 Bioengineering methods for the vulvaSibylle Schliemann, Britta Opper, and Peter Elsner31 Vulvar therapies: Evidence vs. testimonyNatalie Moulton-Levy and Howard I. MaibachIII Genital Alterations and Classifications32 Female genital alterations: A sociological perspectiveSamar A. Farage 33 Female genital cutting: Cultural challenges and health complications Miranda A. Farage, Kenneth W. Miller, Ghebre Tzeghai, Jack Sobel, and William J. Ledger34 Classification of the labia minora Cindy Wu, Lynn A. Damitz, and Denniz A. Zolnoun 35 Danger zones in labiaplastyCindy Wu, Lynn A. Damitz, and Denniz A. ZolnounIV Vulvar Care36 Genital hygiene: Culture, practices, and health impactMiranda A. Farage and Mario Bramante37 Products used on the vulvaMiranda A. Farage and Lisa Lennon38 Consumer research and in-market commentsBrigitte Nijs Index

Dr. Miranda A. Farage is a Research Fellow at the Procter & Gamble Company, Cincinnati, Ohio. Dr. Farage leads global research on genital health, vulvology, dermatological testing and claims, new clinical methods development, sensitive skin, physiology, dermatotoxicology, clinical toxicology, women’s health, quality of life and related fields. Dr. Farage has published more than 200 manuscripts and chapters in peer-reviewed journals and medical books. Dr. Farage is Editor in Chief and co-editor of several successful books covering: (i) The anatomy, physiology and pathology of the Vulva; (ii) Skin, Mucosa and Menopause-management of clinical issues; (iii) Textbook of Aging Skin which was introduced during the 2010 American Academy of Dermatology meeting; (iv) Topical Application and the Mucosa introduced during the 2011 World Congress of Dermatology in Seoul; v) The Vulva: Physiology and Clinical Management, Second Edition; vi) Textbook of Aging Skin-2nd edition introduced during the 2017 American Academy of Dermatology meeting. Dr. Farage is a member of many scientific societies and currently is serving on the editorial board of more than a dozen medical journals. She received a Ph.D. in Medical Sciences and a Master degree (MS) in Biology from the University of Illinois, Urbana-Champaign.