Vulvar Skin 101: What Every Woman Needs to Know

In this episode of The Skin Real, Dr. Mary Alice Mina sits down with fellow board-certified dermatologist Dr. Amaris Geisler, a specialist in vulvar dermatoses based in Atlanta, to break the silence around a body part most women can't even name correctly — the vulva. They cover what the vulva actually is (versus the vagina), the most common conditions dermatologists see there (lichen sclerosis, eczema, psoriasis, and even skin cancer), and why so many women get dismissed with a yeast infection diagnosis instead of a real workup. Dr. Geisler explains the lifelong treatment path for lichen sclerosis, the risks of leaving it untreated (scarring and squamous cell carcinoma), how symptoms and pigmentary changes can present differently in skin of color, and why products like Vagisil and fragranced washes often cause more harm than good. The conversation also tackles the psychological and relational toll of vulvar skin disease, and closes with practical advice on red flags, finding a specialist, and what a proper workup with a dermatologist and gynecologist looks like. The throughline: your vulva is skin, it deserves the same care and attention as anywhere else on your body, and there is nothing shameful about asking for help. In this episode:  00:00 — The Symptom No One Talks About 00:40 — Show Intro & Medical Disclaimer 01:35 — Meet Dr. Amaris Geisler & Why This Conversation Matters 03:15 — How She Fell Into Vulvar Dermatology 05:55 — What Is the Vulva, Really? (Anatomy 101) 07:55 — The Most Common Vulvar Skin Conditions 10:10 — Yes, Skin Cancer Can Happen Here Too 13:25 — Why Self-Checks and Full-Body Exams Matter 15:25 — Lichen Sclerosis Symptoms: Itching, Pain & Fissures 16:55 — Treatment: Steroids and the Lifelong Maintenance Plan 19:25 — The Real Risks of Skipping Treatment (Scarring & Cancer) 21:25 — Menopause, Hormones & the Lichen Sclerosis Connection 24:25 — When (and How) Biopsies Are Actually Done 26:55 — Cysts, Fear, and the "Is This an STD" Question 28:25 — The Truth About Hygiene (Stop Douching) 30:25 — Allergic Reactions: Vagisil, Fragrance & What's Actually Safe 32:55 — Vulvar Conditions in Skin of Color 34:55 — The Mental Health Toll of Vulvar Skin Disease 36:10 — Sex, Intimacy & Reassurance for Partners 36:55 — Red Flags: When to See a Doctor Immediately 37:40 — How to Find a Vulvar Specialist 38:15 — What a Proper Workup Looks Like 38:45 — Final Advice: Treat Your Vulva With Kindness 39:15 — Outro: Subscribe & More Resources at theskinreal.com Want a deeper look? Watch the full episode on YouTube for a more visual experience of today’s discussion. This episode is best enjoyed on video—don’t miss out! 📱Download The Skin Real app. Apple App Store: https://apps.apple.com/us/app/the-skin-real/id6748411628 Google Play: https://play.google.com/store/apps/details?id=vyten.theskinreal&hl=en_US 🔗 Scan your skin with my AI app: https://realskin.lovable.app 🛍️ Shop Dr. Mina's recommended skincare on Regimen Pro: https://regimenpro.com/pages/practice-homepage/19cad6bd-63ea-4c6d-b2ec-64c06c3f7a6b   About the Guest: Dr. Amaris Geisler is a board-certified dermatologist specializing in general and cosmetic dermatology, with a particular expertise in vulvar disorders, pigmentary conditions, alopecia, and skin of color. She has published extensively in these areas and is committed to advancing evidence-based care and improving dermatologic outcomes for diverse patient populations. Dr. Geisler completed an accelerated B.S./M.D. program in New York, where she was born and raised, before moving to Atlanta to pursue dermatology residency at Emory University. She is delighted to continue her career in Atlanta as part of the Olansky Dermatology team. Passionate about mentorship and medical education, Dr. Geisler serves as an Adjunct Assistant Professor of Dermatology at Emory University. She is actively involved in the dermatology community through her committee roles with the American Academy of Dermatology, Women’s Dermatologic Society, Skin of Color Society, International Society for the Study of Vulvovaginal Disease, and the Vulvar Dermatology Research Consortium. She has earned multiple awards and grants from each of these societies, and was also the recipient of a Scholars Award that gave her the opportunity to complete a month of her residency training at Harvard Dermatology. Outside of medicine, Dr. Geisler enjoys traveling, pilates, long walks, and discovering new restaurants. She especially treasures time spent with her husband, bullmastiff, and cane corso. Connect with Dr. Amaris Geisler: Website: https://www.olanskydermatology.com/provider/dr-amaris-geisler/ Instagram: @dr.amaris.geisler   About the host:  Dr. Mina is a board-certified dermatologist on a mission to cut through the noise and help women feel amazing in their skin again. After decades in clinic, she has taken her expertise online to offer trusted, no-fluff education and skin strategies that actually work. No filters. No fear tactics. Just science, simplicity, and a little fun!   Follow Dr. Mina here: Instagram: https://instagram.com/drminaskin Facebook: https://www.facebook.com/drminaskin YouTube: https://www.youtube.com/@drminaskin LinkedIn: https://www.linkedin.com/in/drminaskin/ Visit The Skin Real Serenbe: https://theskinrealserenbe.com/ Book your Meet and Greet here Thanks for tuning in. And remember, real skin care is real simple when you know who to trust. Disclaimer: This podcast is for entertainment, educational, and informational purposes only and does not constitute medical advice.