Vulval Conditions
The vulva is the external part of the female genitalia and plays an important role in sexual function, urination, and overall comfort. Unfortunately, it can also be the site of a range of uncomfortable and sometimes distressing conditions.
Common Vulval Conditions
- Lichen sclerosus: A chronic inflammatory skin condition that causes thinning, itching, and soreness of the vulval skin. It requires ongoing management to prevent scarring and discomfort.
- Vulval infections: These include fungal infections like thrush, bacterial infections, and sexually transmitted infections that can cause itching, burning, or unusual discharge.
- Vulval dermatoses: Other skin conditions such as eczema or psoriasis can also affect the vulva.
- Vulval cancer and pre-cancer: Although rare, persistent itching or unusual changes in vulval skin may signal pre-cancerous changes or cancer, requiring biopsy and specialist care.
Symptoms to Watch For
- Persistent itching or burning
- Pain or discomfort during sex or when sitting
- Redness, white patches, or thickened skin
- Ulcers, lumps, or sores that do not heal
Diagnosis and Care
Accurate diagnosis often requires a detailed examination and sometimes a biopsy of vulval tissue. I offer:
- Expert clinical assessment
- Vulval biopsies under local or general anaesthesia as needed
- Individualised treatment plans including topical therapies, steroid creams, or surgical interventions when appropriate
- Ongoing surveillance for chronic conditions like lichen sclerosus
Dr Sam Holford
You Are Not Alone
Vulval conditions can be isolating and impact quality of life, but help is available. Open communication and compassionate care are the first steps to relief.
Book an appointmentFAQs
What is the difference between the vulva and the vagina?
The vulva refers to all of the external genital parts, including the labia, clitoris, and the opening to the vagina. The vagina is the internal muscular canal that connects the vulva to the cervix. It's important to know which part is causing symptoms.
I'm embarrassed to talk about my vulval symptoms. Is this normal?
It is completely normal to feel embarrassed, but please know that as a specialist, I discuss these issues every day. Open communication is key to getting an accurate diagnosis and effective treatment. My goal is to provide a safe and comfortable space for you to talk.
What is a vulval biopsy and will it hurt?
A vulval biopsy is a simple procedure to take a tiny sample of skin from the vulva to be examined under a microscope. It is done in the clinic using a local anaesthetic to numb the area completely, so you should only feel a brief sting from the injection, not the biopsy itself.
Are my vulval symptoms a sign of an STI?
While some sexually transmitted infections (STIs) can cause vulval symptoms like sores or itching, there are many other causes, such as skin conditions (like lichen sclerosus or eczema) and infections like thrush. A proper examination is needed to determine the cause.
Resources
Please note: This information is general in nature and not a substitute for medical advice tailored to your specific situation.