A woman aged 64 years presented with a three-year history of vulvar itch and skin fragility with associated superficial dyspareunia.

A woman aged 40 years presented for a cervical screening test, during which whitish discolouration of the vulva, involving both labia majora and minora, and clitoris with distorted anatomy was noted.

This paper discusses an approach to diagnose and treat vulvar ulceration in a postmenopausal woman.

Two male patients aged in their 20s, who had no relationship with each other, separately presented with a three-month history of multiple asymptomatic papules on the genitalia.