Vulvovaginal Disorder Expertise

Working along with expert dermatologist, Dr. Saha has a particular interest in caring for women with vulvo-vaginal pain syndrome and vulval dermatoses. With her expert pain management skills she will facilitate a multidisciplinary pain management strategy.

Vulvovaginal Disorders

Most women with vulval pain disorders often yield devastating changes to sexual function.

The aging process as well as various diseases process are powerful contributors to female sexual dysfunction. Various vulval dermatosis including Lichen sclerosus, Lichen Planus, recurrent vulvovaginal  candidiasis and atopic dermatitis are some of the common conditions responsible for significant vulvovaginal pain syndrome.

These recognizable disorders can be identified by  careful history that includes review of symptoms , attention to possible systemic or autoimmune diseases or history of atopy, sexual history, psychological profile, lifestyle issues, targeted non-genital and genital exams , including assessment of vulvar architecture and skin, pain and symptom mapping, evaluation of tolerance for the exam , the vagina and the pelvic floor.

Dr. Sumi Saha formulates an evidence based individualized management approach to optimise treatment outcome.

Condition Information

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Vulvovaginal Pain

Pain in the vagina or the female external genital organs (the vulva, which includes the labia, clitoris, and entrance to the vagina)

Vulvar Psoriasis

Patches of inverse psoriasis, the most common type in the genital area, are often bright red, smooth, and shiny. Women may have gray, scaly plaques on their vulva, just outside the vagina.


Vulvar intraepithelial neoplasia (VIN) is a premalignant skin disorder caused by abnormal cells in the vulvar skin.

Vaginal Odor

In a word, yes! Even after a shower, a very faint, not-unpleasant, odor will be present if vaginal secretions are smelled up close.

Vaginal Discharge

Discharge is fluid released from the body. The vagina is an 8-12 cm long tube that opens at the lips of the vulva.

Vaginal Atrophy

Vaginal atrophy (atrophic vaginitis) is thinning, drying and inflammation of the vaginal walls that may occur when your body has less estrogen.


Trichomoniasis is a common sexually transmitted infection caused by a parasite.

Plasma Cell Vulvitis

Plasma cell vulvitis is a rare benign idiopathic vulvar inflammatory disorder of unknown etiology characterized by a bright-red mucosal lesion of significant chronicity and mainly affecting adult women.

Lichen Simplex Chronicus

Lichen simplex is a localised area of chronic, lichenified eczema/dermatitis. There may be a single or multiple plaques.

Lichen Sclerosus

Lichen sclerosus is a skin condition that makes patches of skin look white, thickened and crinkly. It most often affects the skin around the vulva or anus.

Lichen Planus

Lichen planus is a chronic inflammatory skin condition affecting the skin and mucosal surfaces. There are several clinical types of lichen planus that share similar features on histopathology.

Hidradenitis Suppurativa

This is a chronic, recurrent disease that presents with sore, brownish-red bumps that look like boils.

Genital Herpes

Genital herpes is an infection caused by the herpes simplex virus (HSV). There are two types of HSV, and both can cause genital herpes.


Desquamative inflammatory vaginitis (DIV) is a cause of persistent vaginitis, sometimes accompanied by painful intercourse. DIV can occur at any age, before or after menopause.

Contact Dermatitis

This is a general term used to describe inflammation of the skin resulting from an external agent that acts either as an irritant or an allergen to produce a rash that can be acute or chronic.


Commonly known as “yeast infection” in the United States, and as vulvovaginal thrush in other English-speaking countries, vulvovaginal candidiasis (VVC) is an uncomfortable condition in which normally occurring yeast organisms in the vagina transform and over-grow, causing vulvar irritation, itching, burning, and (sometimes) changes in vaginal discharge.

Bacterial Vaginosis

Bacterial vaginosis (BV) is the most common cause of abnormal vaginal discharge in women of childbearing age, accounting for up to 50 percent of cases.

Alphthous Ulcers

Aphthous ulcers are the same as canker sores on the vulva. They are acute, painful ulcers (loss of the full thickness of the epithelium).

Non-surgical Treatments

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Corticosteroid hormones are made in the body or manufactured synthetically. Synthetically made corticosteroids (“steroids”) are used for their power to fight inflammation.


Corticosteroids (“steroids”) are hormones made in the body or manufactured synthetically. They are used for their power to fight inflammation. They reduce redness, itching, and swelling.

Useful Information

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Vulval Pain Questionnaire

If Vulvovaginal pain is the reason for your consultation, please complete the vulvovaginal pain questionnaire and bring it with you for your initial consultation.

Ten Suggestions

Ten suggestions for keeping the vulva and vagina healthy.

Post Surgery Information

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Biopsy After Care

Vulvar biopsy after-care instructions.

Have a question for Dr Sumi & her team?

We are always happy to answer any questions you may have.