Using Woodâ€™s Light as a Diagnostic Tool for Vaginal Atrophy QC05-QC08
Dr. Mustafa Ozturk,
Specialist, Department of Obstetrics and Gynaecology, Etimesgut Military Hospital, 06100, Etimesgut, Ankara, Turkey.
E-mail : firstname.lastname@example.org
Introduction: Woodâ€™s light lamp is a device that emits ultraviolet (UV) light and is a useful diagnostic tool for dermatologic disorders. The change in the thickness of vaginal mucosa, in vaginal atrophy, causes a change in its colour under Woodâ€™s light. We wanted to assess the feasibility of Woodâ€™s light (WL) as a diagnostic tool for vaginal atrophy.
Materials and Methods: The study was conducted at the Department of Obstetrics and Gynaecology from 1 March 2013 to 1 September 2014. We evaluated 45 healthy postmenopausal women with atrophic vaginitis (study group) and 45 healthy, reproductive-aged women as a control group. All patients underwent WL and routine gynaecological examinations for this study.
Results: Ninety patients were selected for this study: 45 postmenopausal women suffering atrophic vaginitis symptoms like vaginal dryness, dyspareunia, vulvar pruritus, and signs like pale, smooth, dry, fragile vaginal epithelium, areas of petechiae, and rash, and 45 healthy reproductive-aged women without vaginal atrophy. Thirty-six of the postmenopausal womenâ€™s vaginal mucosa appeared pale royal green under WL indicative of vaginal atrophy. Thirty-nine of reproductive-aged womenâ€™s (n: 45) vaginal mucosa were not visualized as pale royal green fluorescent images under the WL.
Conclusion: Using Woodâ€™s light to diagnose vaginal atrophy is a new use for the old device and may be a reliable, and cheap tool for diagnosing vaginal atrophy. Diagnostic accuracy and cost-effectiveness of Woodâ€™s light will be better optimized in further trials.