Here at DiscovHER HEALTH, we care about treating women with Vulva Squamous Intraepithelial Lesions.

These lesions can occur in women of all ages. LSIL and HSIL are commonly seen in young women, and the dVIN type is typically seen in older women.

What is Vulvar Squamous Intraepithelial Lesions?

Low grade squamous intraepithelial lesions (LSIL), high grade squamous intraepithelial lesions (HSIL) and differentiated vulvar intraepithelial neoplasia (dVIN) are the names given to the presence of abnormal squamous cells on the vulvar skin. These areas can occur as one patch or they may affect several areas of skin at the same time.

These lesions are not cancer. LSIL are also known as warts. They do not become cancer and don’t need treatment unless they are causing symptoms. HSIL and dVIN may develop into cancer if not treated.

Some women with HSIL experience itching or burning, but many women have no symptoms at all. dVIN usually occurs in women with a long-lasting history of itching, soreness and dryness.

Causes of Vulvar Squamous Intraepithelial Lesions

The strains of human papilloma virus (HPV) which cause most genital warts are usually related to LSIL of the vulva. The strains of HPV that can cause genital cancers can cause HSIL of the vulva.

The low grade and high grade squamous intraepithelial lesions are more common in smokers.

They are also more common in women who are immunosuppressed, either from disorders affecting their immune system or from medication used to treat other types of disease dVIN is often seen in women with other chronic vulvar skin conditions such as lichen sclerosus and lichen planus.
A simple procedure called a skin biopsy will confirm the diagnosis. A small piece of skin from the affected area will be removed under local anaesthetic and then analyzed.

It is important that you have regular cervical/vaginal screening as it is common to have cervical or vaginal lesions in addition to vulvar lesions.

See ONE OF OUR EXPERTS if you have any of the problems with this condition.
The recommended treatment will depend on the your symptoms and your overall health.
To make the best decision for you, discuss the risks and benefits with us.

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