Vulvoscopy

A vulvoscopy is a procedure used to closely examine the vulva (the external female genital area) for signs of disease or abnormalities. It is typically performed when there are unexplained symptoms such as itching, pain, or unusual lesions.

Reasons for a Vulvoscopy

• Unexplained vulvar itching or pain.
• Abnormal growths or lesions on the vulva.
• Suspicion of precancerous or cancerous changes.
• Follow-up for previously diagnosed vulvar conditions.
• Evaluation of sexually transmitted infections (STIs).

Procedure Overview

• Preparation:
  • Avoid sexual activity and tampon use 24 to 48 hours before the procedure.
  • Avoid using creams or lotions on the vulva before the procedure.
  • Inform your doctor if you are pregnant or have any active infections.
• Procedure:
  • You will lie on an exam table with your feet in stirrups.
  • The doctor will use a magnifying instrument (colposcope) to closely examine the vulva.
  • A vinegar or iodine solution may be applied to highlight abnormal areas.
  • If any suspicious areas are found, a small biopsy sample may be taken for further testing.
• Duration: The procedure typically takes 10 to 20 minutes.
• Aftercare: Mild discomfort or spotting may occur for 1 to 2 days.

Aftercare and Recovery

• You may experience mild soreness or spotting for 1 to 2 days.
• Avoid sexual activity and tampon use for at least 48 hours.
• If a biopsy was taken, you may have mild spotting or brown/black discharge.
• Pain relievers like ibuprofen can help with mild discomfort.
• Contact your doctor if you experience heavy bleeding, severe pain, or signs of infection.

Possible Risks and Complications

• Mild bleeding or spotting.
• Cramping or discomfort.
• Infection (rare).
• Heavy bleeding (if a biopsy was taken).
• Scarring of the vulva (very rare).