Some women who are treated multiple times for chronic vaginal or vulvar itching don’t have a yeast or any other infection at all, but instead have a skin condition involving the genital area. These conditions can cause the genital skin to be thicker (lichen simplex chronicus) or thinner (lichen sclerosus) than usual, and the color may be different from the surrounding skin. The skin changes are often very subtle. It takes an experienced physician with knowledge of genital skin conditions to be able to make the correct diagnosis and prescribe the right medication to alleviate these bothersome symptoms.
Some women with recurrent episodes of genital itching may have recurrent yeast infections from strains of yeast that are resistant to the usual medications. This is unusual, but having a yeast culture done can determine if you have the most common strain of yeast (Candida albicans) or a resistant strain such as Candida glabrata or Candida tropicalis that require different treatments.
During her residency, Dr. Clark worked with one of the foremost experts in vulvar skin conditions. She has the background and experience to diagnose and treat unusual skin conditions such as lichen sclerosus and lichen simplex chronicus, and provide relief to women who suffer from these conditions.