Nonhormonal causes of genitourinary symptoms
| Conditions | Associated symptoms |
|---|---|
| Medical problems | |
| Sexually transmitted infections | Vaginal discharge, odor, irritation |
| Candidiasis | |
| Bacterial vaginosis | |
| Trichomoniasis | |
| Lichen sclerosis | Hypopigmented, waxy, agglutination, loss of labial folds |
| Lichen planus | Red plaques, pain |
| Lichen simplex chonicus | Lichenified skin |
| Vulvar intraepithelial neoplasm | Raised or eroded lesions |
| Vulvar cancer | Ulcer with raised edges |
| Paget disease | Red, scaly plaque with sharp border |
| Vulvodynia | Dyspareunia |
| Vaginismus | Dyspareunia |
| Psoriasis, eczema | Multiple plaque-like lesions, nongenital lesions |
| Inflammatory bowel disease | Fissures |
| Skin irritants | |
| Perfumes Powders | Contact dermatitis, skin irritation, reactions |
| Deodorants | |
| Soaps | |
| Spermicides | |
| Lubricants | |
| Hot tub and pool additives | |
| Foreign bodies | |
| Panty liners | |
| Perineal pads | |
| Tight-fitting or synthetic clothing | |
| Retained foreign body | |
Adapted from references 17 and 18.