Buying health services for local people

COVID-19 (coronavirus) latest: do not leave your home

Everyone must stay at home to help stop the spread of coronavirus. Advice for clinicians on COVID-19 (coronavirus) is here. If you are a member of the public looking for health advice, visit the NHS website or North Yorkshire Public Health. And if you are looking for the latest travel information, and advice about the government response to the outbreak, go to the website.

Last updated: 30 March, 2020 15:59pm

en English
en English

Vulval disorders – Information for GPs


Commonly present with pruritis and pain

Red flag symptoms

Vulval ulceration or increasing lesion of vulval skin – refer 2WW fast track


  • Exclude vulval candidiasis
  • Examine vulval, perianal area, vagina, cervix
  • Look for any evidence of systemic illness by examining rest of skin and oral mucosa
  • Commonest vulval disorders are:
    - Lichen sclerosus – for management see below
    - Atrophic vulvovaginitis

Indications for referral

Lesions or conditions not responding to management

Investigations prior to referral

  • Consider TFT/HbA1C
  • Consider vulval swabs

Information to include in referral letter

  • Description of vulva and any lesion
  • Smear history
  • Relevant past medical/surgical history
  • Current regular medication
  • BMI
  • Smoking status

Desirable information

Any treatment tried

Patient information

en English