A 71 yo lady comes to GP with 2 yr hx of vulvar pruritis. Physical exam of vulva shows whitish parchment like skin with symmetric involvement of labia major. minora, clitoral and periclitoral regions, areas of cracked skin and fusion of labial folds. Biopsy of area shows no malingnant changes. 1. What is likely underlying pathology? 2. What is most common treatment?

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The development of the reproductive system begins with the formation of undifferentiated gonads and the paired mesonephric and paramesonephric ducts.


1. A 71 yo lady comes to GP with 2 yr hx of vulvar pruritis. Physical exam of vulva shows whitish parchment like skin with symmetric involvement of labia major. minora, clitoral and periclitoral regions, areas of cracked skin and fusion of labial folds. Biopsy of area shows no malingnant changes. 1. What is likely underlying pathology? 2. What is most common treatment?