Vulvar dermatoses are often underdiagnosed in women with skin of color. Cultural stigma, structural and educational barriers, and gaps in research and clinical training all play a role in limiting care. Patients may self-manage symptoms and only seek care when the disease becomes severe. Once they seek care, they may experience gaps in clinician understanding and recognition of the severity of the disease and its quality of life impacts. These clinical barriers may lead to undertreatment.
A poster presented at Skin of Color Update examined these challenges and highlighted the need for more equitable, culturally informed approaches to vulvar dermatoses. In this Next Steps in Derm commentary, lead author Grace Herrick shares the results of a comprehensive narrative review that identified challenges and barriers to care, including the experience of shame. She also outlines a paradigm shift in how dermatology clinicians should approach vulvar health in populations that have been historically marginalized.
