55-Year-Old Post-Menopausal Female with Genital Itching and Pain During Intercourse

A 55-year-old post-menopausal female presented with itching and burning in the genital area for 1 year. She stated the itching was most concentrated in the vulva, but she also felt it in the anal area as well. She also reported increased pain with sexual intercourse and occasional constipation. She had not received a gynecological exam in 5 years. In addition to itching in her vaginal area, she also complained of an itchy white patch on the left abdomen.