Miriam, a 55-year-old postmenopausal client, complains to the nurse that she has been experiencing pruritus, irritation, and burning in her vulvar region, along with dyspareunia. On vaginal examination, the nurse observes that the vulvar epithelium is pallorous, shiny, and crinkly, with symmetric distribution across the vulva, labia, and perineum. Based on these findings, which condition should the nurse suspect most?

Question

Quizplus · Accepted Answer

The symptoms and examination findings described are characteristic of Lichen sclerosus, which often presents with pruritus, irritation, burning, dyspareunia, and changes in the appearance of the vulvar skin, such as pallor, shininess, and a crinkly texture.

Miriam, a 55-Year-Old Postmenopausal Client, Complains to the Nurse That