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ICD Hub / Diseases of the genitourinary system (N00–N99) / GA00.4 - Vulvovaginal ulceration and inflammation
ICD-11

ICD-11 Codes
for GA00.4 - Vulvovaginal ulceration and inflammation
Teodor Jurukovski January 1, 1970
Fact checked by: Teodor Jurukovski
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Synonyms and Alternative Terms for Vulvovaginal Ulceration and Inflammation

Vulvovaginal ulceration and inflammation, identified by the ICD-11 code GA00.4, is also referred to in clinical settings as vulvovaginal inflammation or vulvovaginal ulceration. More specific classifications include vulvovaginal ulceration (GA00.40) and vulvovaginal inflammation (GA00.41). Patient-friendly terms may describe this condition as sores or breaks in the skin of the vulva and vagina, accompanied by inflammation.

Clinical Overview of Vulvovaginal Ulceration and Inflammation

Vulvovaginal ulceration and inflammation (ICD-11 code GA00.4) describes conditions involving sores or erosions on the vulva and vaginal tissues, often accompanied by inflammation. These lesions can manifest as breaks in the skin or mucous membranes, exposing underlying tissue. While some cases may be asymptomatic, they frequently present with discomfort or pain. The causes are varied, ranging from infections to inflammatory conditions, and can affect individuals of any age.

Causes and Risk Factors for Vulvovaginal Ulceration and Inflammation

The causes of vulvovaginal ulceration and inflammation (ICD-11 code GA00.4) are diverse. Infectious agents, including sexually transmitted infections (STIs) like herpes simplex virus and syphilis, as well as non-sexually transmitted infections such as fungal infections (e.g., vulvovaginal candidiasis) and bacterial infections, are common culprits. Non-infectious causes include inflammatory diseases (e.g., Crohn's disease, Behçet's disease), autoimmune conditions, trauma, drug reactions, and, less commonly, malignancies. Risk factors can include having multiple sexual partners, unprotected sexual activity, and exposure to certain bacteria, viruses, or organisms. Conditions like antibiotic use or oral contraceptive use can also increase the risk of certain types of inflammation.

Common Symptoms and Presentation of Vulvovaginal Ulceration and Inflammation

Individuals experiencing vulvovaginal ulceration and inflammation (ICD-11 code GA00.4) may present with a range of symptoms. These can include painful or itchy sores, breaks in the skin, discharge from the vulva or vagina, painful or difficult urination, and sometimes enlarged lymph nodes or fever. In some instances, the condition may be asymptomatic. The presentation can vary, with ulcers sometimes appearing as initial bumps or rashes before developing into open sores. Associated symptoms may include itching and vaginal discharge, particularly in cases of vulvovaginitis.

Diagnosis of Vulvovaginal Ulceration and Inflammation

Diagnosing vulvovaginal ulceration and inflammation (ICD-11 code GA00.4) typically involves a comprehensive approach. A healthcare provider will conduct a physical examination, paying close attention to the appearance and characteristics of the ulcers and inflammation. A detailed medical history, including sexual history, number of partners, and current medications, is crucial for identifying potential risk factors, especially for STIs. Diagnostic tests may include viral swabs for polymerase chain reaction (PCR) to detect infections like HSV, blood tests for serology (e.g., syphilis, HIV, hepatitis), urine tests for chlamydia and gonorrhea, and potentially a biopsy of the affected tissue for further examination. For inflammatory vaginitis, diagnosis often involves a pelvic examination, vaginal pH testing, and a wet mount.

Treatment and Management Considerations for Vulvovaginal Ulceration and Inflammation

Treatment for vulvovaginal ulceration and inflammation (ICD-11 code GA00.4) is tailored to the underlying cause. For infectious conditions, antibiotic or antiviral medications are commonly prescribed. Non-infectious causes may be managed with topical or oral corticosteroids, antihistamines, or immunomodulatory agents. General management strategies include minimizing irritants, using cool compresses, applying bland barrier ointments, and employing oral analgesics for symptom relief. In cases of inflammatory vaginitis, treatments such as vaginal clindamycin or hydrocortisone may be recommended. Patients are advised to seek medical advice for persistent or severe symptoms.

Frequently asked questions

What is the ICD-11 classification for Vulvovaginal ulceration and inflammation?
The ICD-11 classification for Vulvovaginal ulceration and inflammation is GA00.4.
Under which chapter of the ICD-11 classification is GA00.4 found?
ICD-11 code GA00.4 is found within Chapter 16, Diseases of the genitourinary system, specifically under the block Inflammatory disorders of the female genital tract (GA00-GA0Z).
How is ICD-11 code GA00.4 utilized in health information systems?
ICD-11 code GA00.4 is used for the systematic recording, reporting, analysis, interpretation, and comparison of morbidity data related to vulvovaginal ulceration and inflammation.
Does ICD-11 allow for further specification of the GA00.4 diagnosis?
Yes, ICD-11 supports post-coordination, which allows for the addition of extension codes to provide more detail regarding specific anatomical sites or causative agents for conditions like GA00.4.
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