12th November 2021

A 52-year-old woman presents to her general practitioner with an itchy, burning rash of 5 weeks’ duration

A 52-year-old woman presents to her general practitioner with an itchy, burning rash of 5 weeks’ duration. She describes the rash as being present on her genitalia and associated with dyspareunia. She is otherwise systemically well and has no past medical history.

On examination, reddish brown patches on the inner part of the vulva were noted.
Given the most likely diagnosis, what is the first-line treatment?

Select the SINGLE most appropriate option from the list below. Select ONE option only.