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Last updated: 30 March, 2020 15:59pm

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Vulval disorders – Information for GPs

Definition

Commonly present with pruritis and pain

Red flag symptoms

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

Management

  • 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

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