Rhytides or wrinkles are visible creases or folds in the skin.
Fine wrinkles is <1 mm in width while coarse wrinkles is >1 mm in width.
The decision to treat wrinkles depends on the degree that they bother the patient, the nature and severity of the wrinkles, and the patient's willingness to accept the risks and costs of treatment.
The patient should understand that protection from the sun at any age will reduce the risk of photoaging (including wrinkles), actinic keratoses and squamous cell cancer.
Acute vulvovaginal candidiasis (VVC) is common and usually easily treated but some women develop chronic symptoms that do not respond to conventional anti-Candida treatment. Recently proposed diagnostic criteria may help clinicians identify women with chronic VVC. Evidence is mounting that it represents a hypersensitivity response to commensal Candida spp. It usually responds to long-term antifungal treatment.
Bacterial vaginosis affects approximately 29% of women of childbearing age. The aetiology of the disorder is unclear, but it is characterized by an alteration in the vaginal microflora and the replacement of Lactobacillus spp with anaerobic vaginal bacteria such as Gardnerella vaginalis, Prevotella spp, Mobiluncus spp, Mycoplasma hominis, and Atopobium vaginae. The disorder can become chronic, but a recent study has shown that the application of vaginal ascorbic acid (vitamin C) tablets has a prophylactic effect.