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Cytology of the neovagina Problems in the neovagina Resources References

      18  Section 10: Psychological Aspects of Vulval Disease 48 Psychological Aspects of Vulval Disorders The hypothalamic‐pituitary‐adrenal (HPA) axis Psychological symptoms and the vulva Psychiatric presentations Psychological aspects of specific conditions or events Sexual dysfunction Psychological assessment Psychological and psychiatric interventions Resources References

      19  Section 11: Vulval Disease in Children 49 Inflammatory Dermatoses of the Vulva in Children Napkin (diaper) eruptions Resources Resources Immunobullous disease Dermatoses associated with systemic disease Drug eruptions Vulval pain in children References 50 Vulval Infection in Children Investigation of infection in children Common vulval infections in children Foreign bodies Bacterial infections Resources Viral infections Other infections Other infections Acute non‐sexually transmitted reactive genital ulcers (Lipschutz ulcers) References 51 Anatomical Abnormalities in Children Labial adhesions (labial agglutination) Infantile pyramidal perineal protrusion Clitoromegaly in children Childhood asymmetry labium majus enlargement (CALME) Urethral prolapse Abnormalities of the hymen Other developmental abnormalities Resources References 52 Vulval Trauma in Children Non‐thermal vulval trauma Thermal damage Chemical damage Hair tourniquet syndrome Bites Child sexual abuse Resources References 53 Vulval Lesions in Children Clitoral cysts Vulval naevi Infantile haemangiomas Vulval tumours Other lesions References

      20  Section 12: Other Topics 54 Vulval Trauma Obstetric injury Trauma with consensual coitus Accidental injury Thermal injury Chemical injury Radiation injury Genital self‐mutilation The vulva and sport Cyclist’s vulva Other sporting injuries References 55 Cosmetic Procedures and Complications Procedures on vulval structures Perianal bleaching Pubic hair Piercing

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