Chapter Photos


Itch-Scratch Cycle affect on the Labia Majora
Wearing a thin mini-pad every day to to avoid getting the “normal” vaginal discharge on your underwear can cause thickened and itchy vulva. Changes may also include lightening or darkening of the vulvar skin, grayish white and thicker skin, fissures, and hair loss. Heat, stress, mini-pads, lubricants, fragrant soaps and laundry products, and menses exacerbate the symptoms.


Itch-Scratch Cycle affect on the Labia Majora and Minora
Wearing a thin mini-pad every day to to avoid getting the “normal” vaginal discharge on your underwear can cause thickened and itchy vulva. Changes may also include lightening or darkening of the vulvar skin, grayish white and thicker skin, fissures, and hair loss. Heat, stress, mini-pads, lubricants, fragrant soaps and laundry products, and menses exacerbate the symptoms.


Itch-Scratch Cycle affect on the Labia Majora and Minora
Changes may also include lightening or darkening of the vulvar skin, grayish white and thicker skin, fissures, and hair loss. Heat, stress, mini-pads, lubricants, fragrant soaps and laundry products, and menses exacerbate the symptoms. Lichen Simplex Chronicus (LSC) is the medical condition
most commonly known as the itch-scratch cycle.


Itch-Scratch Cycle affect on the Labia Majora and Minora
Changes may also include lightening or darkening of the vulvar skin, grayish white and thicker skin, fissures, and hair loss. Heat, stress, mini-pads, lubricants, fragrant soaps and laundry products, and menses exacerbate the symptoms. Lichen Simplex Chronicus (LSC) is the medical condition
most commonly known as the itch-scratch cycle.


Itch-Scratch Cycle affect on the Labia Majora and Minora
Changes may also include lightening or darkening of the vulvar skin, grayish white and thicker skin, fissures, and hair loss. Heat, stress, mini-pads, lubricants, fragrant soaps and laundry products, and menses exacerbate the symptoms. Lichen Simplex Chronicus (LSC) is the medical condition
most commonly known as the itch-scratch cycle.


Chronic Itch-Scratch Cycle
Lichen Simplex Chronicus (LSC) is the medical condition
most commonly known as the itch-scratch cycle.


Chronic Rectal Itching
Chronic rectal itching caused the skin of the anus to be thickened and dry, which in turn, leads to more itching…more scratching.


Chronic Rectal Itching
One year later with inconsistent treatment. Long time rectal itching became severe and unmanageable—
Scratching often occurs on a subconscious level during the day and night,
while sleeping, and can result in abrasions and tears if left
untreated.With chronic itching comes thickening and drying of the skin, which promotes the itch-scratch cycle, which, in turn, lead to visible changes on the hood of the clitoris, the lips of the vagina and the area around the anus.


Resolving Chronic Rectal Itching
One year later, this same patient was more consistent using steroid cream and nightly warm baths with extra virgin coconut oil.


Resolving Chronic Rectal Itching
Two years later, this same patient was more consistent using steroid cream and nightly warm baths with extra virgin coconut oil. Her symptoms resolved but a scarred anal area can be seen from the chronic itching and scratching.


Chronic Rectal Itching


Chronic Yeast Infections
Chronic yeast refers to four or more symptomatic cases of
candida vulvovaginitis (vaginal yeast infection) in a 12-month
period. Symptoms include chronic vaginal pain along with
intense itching and thick discharge. Those who may be prone
to chronic yeast include women who have frequent sex, women with new partners, and those who have recently taken or tend to take antibiotics.


Chronic Yeast Infection
This 83y year old woman has urinary incontinence and has to wear a diaper 24 hours a day.


Bacterial Vaginosis (BV)
BV is also known as Gardnerella. Douching…just DON’T! Douching upsets the normally acidic vagina causing bacterial and yeast infections.


Yeast and Bacterial Infection
Often yeast and bacteria are found together on a vaginal culture


Psoriasis of the Vagina


Psoriasis of the Vagina


Psoriasis of the Vagina


Lichen Sclerosus
Lichen Sclerosus is a chronic skin condition involving the vagina that is mainly seen in menopausal women. Symptoms include small white, shiny, smooth spots on the skin. As a result there can be itching, bleeding, pain and tearing of the vagina. Steroid cream is often helpful in managing the symptoms. The cause of lichen sclerosus is unknown but may be the result of an overactive immune system and hormone problems.


Lichen Sclerosus
Lichen Sclerosus is a chronic skin condition involving the vagina that is mainly seen in menopausal women. Symptoms include small white, shiny, smooth spots on the skin. As a result there can be itching, bleeding, pain and tearing of the vagina. Steroid cream is often helpful in managing the symptoms. The cause of lichen sclerosus is unknown but may be the result of an overactive immune system and hormone problems.


Lichen Sclerosus
Lichen Sclerosus is a chronic skin condition involving the vagina that is mainly seen in menopausal women. Symptoms include small white, shiny, smooth spots on the skin. As a result there can be itching, bleeding, pain and tearing of the vagina. Steroid cream is often helpful in managing the symptoms. The cause of lichen sclerosus is unknown but may be the result of an overactive immune system and hormone problems.


Lichen Sclerosus
Lichen Sclerosus is a chronic skin condition involving the vagina that is mainly seen in menopausal women. Symptoms include small white, shiny, smooth spots on the skin. As a result there can be itching, bleeding, pain and tearing of the vagina. Steroid cream is often helpful in managing the symptoms. The cause of lichen sclerosus is unknown but may be the result of an overactive immune system and hormone problems.


Tears on the labia from wearing G-String underwear