Chapter 69 Contact Vulvitis
INTRODUCTION
ETIOLOGY AND PATHOGENESIS
Causes: Irritants may be primary or immunologic in character. The list of potential irritants can be extensive, including “feminine hygiene” sprays, deodorants and deodorant soaps, tampons or pads (especially those with deodorants or perfumes), tight-fitting undergarments or those made of synthetic fabric, colored or scented toilet paper, and laundry soap or fabric softener residues. Even topical contraceptives, latex condoms, lubricants, “sexual aids,” or semen may be the source of irritation. Soiling of the vulva by urine or feces can also create significant symptoms. Severe dermatitis of the vulva resulting from contact with poison ivy or poison oak is found occasionally.
