Vulval diseases
The vulva is the area surrounding the opening of the vagina. It includes the labia (the inner and outer vaginal lips) and the clitoris. We offer a comprehensive service for women with vulval problems such as itching, pain and visible skin changes or lumps as well as already diagnosed vulval skin conditions.
We are a multi professional team made up of a consultant gynaecologist with special interest in vulval disease, Dr Susannah Hogg, and dermatologist. We might want to refer you to our pelvic health physiotherapy team with expertise in treating vulval pain conditions, and some women might benefit from psychosexual counselling.
What to expect at your appointment?
It is useful not to apply any creams on the day of your first visit unless it is necessary to keep you comfortable for the day. The clinician seeing you will take a detailed history of your problem, the treatment you have received so far, and medical history. Please bring any medications and all creams you might be using.
The first visit will usually involve a vulval examination with good lighting and magnification to see any subtle skin changes. Occasionally we might want to take a small skin biopsy to help make the right diagnosis. This is done under local anaesthetic. Usually, women can continue with their normal daily routine afterwards and should not be too sore.
We will then discuss and develop a treatment plan with you.
Further information and support
We recognise that vulval problems can be very distressing. The Vulval Pain Society is a UK registered charity supporting vulval pain sufferers.
© North Bristol NHS Trust. This edition published January 2025. Review due January 2028. NBT003777.