Category Archives: Gynaecology

When Should I See A Doctor For Vulvodynia?

When Should I See A Doctor For Vulvodynia?

Living with vulvodynia can be challenging because in addition to the physical symptoms, the condition can negatively impact your emotional wellbeing. So when should you see a doctor for vulvodynia?

Symptoms Of Vulvodynia

Vulvodynia is chronic pain in the vulva (the external part of the female genitalia). The pain may be continuous or only occur when touching is applied to the vulva. Other symptoms of vulvodynia include irritation, itching, urinary frequency and urgency and pain with intercourse.

When Should I See A Doctor For Vulvodynia?

Vulvar pain and other symptoms of vulvodynia can last for many years and cause significant physical and emotional distress. It’s therefore important to visit your doctor as soon as the symptoms arise. After other diagnoses have been ruled out, your doctor will refer you to a vulvovaginal specialist for an accurate diagnosis and treatment.

Treating Vulvodynia

The experts in vulvovaginal care at Fowler GYN International (FGI) diagnose vulvodynia with the help of an advanced vaginal fluid analysis (VFA) test. The VFA test is done to evaluate the vaginal constituents.

Women with vulvodynia typically have an abnormal or altered vaginal microflora pattern. When the vaginal microflora is abnormal it means that there has been a shift in the bacterial milieu, resulting in an overgrowth of ‘bad’ bacteria.

The results of the VFA test will therefore be used to formulate a customized treatment protocol. The FGI approach focuses on moving the vaginal microflora towards normal to restore vaginal health, and relieve symptoms of vulvodynia.

FGI recommends discontinuing the use of hygiene products that contain chemicals which can irritate the vulvar tissue in conduction vaginal rejuvenate therapy consisting of three to four intravaginal medications.

Patients typically notice some relief about 4 months after starting the FGI treatment protocol, but it can take 8-12 months to achieve lasting improvement.

Have you been diagnosed with vulvodynia? Contact Fowler GYN International (FGI), Phoenix, AZ for a consultation. Dr. Fowler is a board certified gynecologist and former consultant of gynecology at Mayo Clinic for over 20 years.

You can reach them at, or by calling (480) 420-4001.

Why is My Vaginal Skin Turning White?

Why is My Vaginal Skin Turning White?

Have you noticed changes in the appearance of the skin in the vaginal area and wondered – Why is my vaginal skin turning white? The vaginal skin is often overlooked during a physical examination, yet it plays an important role in vaginal health. Therefore, any changes in the color of the skin should be investigated.

Why is My Vaginal Skin Turning White?

If your vaginal skin is turning white and you also have symptoms such as itching, and wrinkled, sticky skin, you probably have a condition known as lichen sclerosus. Lichen sclerosus also makes the skin thinner than usual, so small tears or fissures may develop in the skin.

Lichen sclerosus is a chronic skin disorder that frequently affects the skin of the genitals. There is no cure for lichen sclerosus but it can be managed very effectively.

When lichen sclerosus is left untreated, it can cause the vulva to shrink and make the vaginal opening narrower, resulting in painful intercourse.

How Is Lichen Sclerosus Diagnosed?

Lichen sclerous is diagnosed by a physical examination of the affected area. However, early symptoms of lichen sclerosus can be missed, so it’s important to consult with a vulvovaginal specialist who can easily recognize the clinical signs of the condition.

How Is Lichen Sclerosus Treated?

Dr. R. Stuart Fowler of Fowler GYN International (FGI) is a vulvovaginal specialist with extensive experience diagnosing and treating lichen sclerosus. At FGI they use specially formulated low dose corticosteroids to treat lichen sclerosus as a maintenance therapy.

They also recommend the use of hypocontactant skincare products because most women with lichen sclerosus have sensitive external genitalia tissues. Therefore, the tissues can be irritated by the chemicals in over-the-counter hygiene products. FGI offers patients the FeminaRx Pure SkinCare Collection, which is ideal for women with vulvovaginal symptoms such as itching, irritation, and soreness.

Is your vaginal skin turning white? Contact the experts in vaginal healthcare at Fowler GYN International (FGI), Phoenix, AZ for a consultation. Dr Fowler is a Board Certified gynecologist and former Mayo Clinic Consultant in the Department of Gynecology.
You can reach them at, or by calling (480) 420-4001.