Breisky, in 1885, and others since have reported a peculiar, rare atrophic condition wherein the labia minora, preputium clitoridis, vestibulum and surrounding tissues shrink and become shrivelled. In many instances, a congestive period with itching, burning and hyperesthesia preceded the atrophic state. Women of all ages have this condition, irrespective of coitus or pregnancy. The etiology is obscure though pruritus and vaginal discharges bear a causal relation.
Prognosis and Treatment – This condition is persistent even with careful treatment. Though the latter may be unsatisfactory, it is sensible to treat any vaginal disease that may be present. If there is much thickening, the lesions may be curetted, followed by continuous application of a 1 to 2 percent. salicylic acid solution, alternating with a pyrogallol solution of the same strength. Cataphoresis with one of the zinc salts or sodium chlorid has been recommended but my experience would lead me to place more confidence in the complete surgical removal of the parts, followed by the X-rays.