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A General Approach to the Evaluation and the Management of Vulvar Disorders. The evaluation of the vulva should always begin with a detailed clinical history. The clinician should be very familiar with vulvar anatomy and the changes it undergoes depending on the patient's age and hormonal status. A systematic approach should be developed when examining the vulva so as to not leave out any parts. Finally, there is a wide array of ancillary tests and diagnostics procedures that can be pursued to arrive at the correct diagnosis and begin proper management.