Spital Clinic offers expert hysteroscopy services to diagnose and treat a range of uterine conditions, from abnormal bleeding to fertility issues.
The information provided in this article is for educational purposes only and is based on NHS recommendations. It is not a substitute for professional medical advice. Always consult your doctor or a qualified healthcare provider for advice on medical conditions or treatments.
A vulvoscopy is a diagnostic procedure that allows a gynaecologist to closely examine the external female genitalia, known as the vulva, for signs of abnormalities, precancerous changes, or vulvar cancer. The vulva includes the labia (lips), clitoris, and the openings to the urethra and vagina. This procedure is typically recommended when a woman experiences persistent vulvar symptoms, such as itching, burning, pain, or abnormal skin changes.
During a vulvoscopy, a specialised magnifying instrument called a colposcope is used to provide a clear and magnified view of the vulvar tissues. The colposcope does not enter the body; instead, it remains outside the vulva while the gynaecologist examines the area through the lens to identify any areas of concern.
A vulvoscopy is usually performed in an outpatient setting and typically takes about 10-15 minutes. The procedure begins with the patient lying on an examination table in a position similar to a regular pelvic exam, with feet placed in stirrups. The gynaecologist then carefully inspects the vulva with the naked eye, looking for any visible abnormalities, such as skin changes, lumps, or sores.
Next, the gynaecologist positions the colposcope near the vulva and examines the area through the magnifying lens. During the examination, the gynaecologist may apply a solution of weak acetic acid (vinegar) or iodine to the vulvar skin, which helps highlight any abnormal areas by causing them to turn white or yellow. If any suspicious areas are identified, the female gynaecologist may take a small tissue sample (biopsy) for further testing. A local anaesthetic may be used to minimise discomfort during the biopsy. Following the procedure, patients can typically resume normal activities immediately.
A vulvoscopy may be recommended if you experience persistent vulvar symptoms, such as itching, burning, pain, or abnormal skin changes. These symptoms can be caused by a variety of conditions, ranging from benign skin irritations to precancerous changes or vulvar cancer. If you notice any new or unusual lumps, sores, or skin changes on your vulva, or if you have persistent vulvar discomfort that does not improve with self-care measures, it is important to consult your healthcare provider.
Your healthcare provider may also recommend a vulvoscopy if they notice any abnormal findings during a routine pelvic exam, or if you have a history of vulvar conditions or abnormal Pap smear results. Regular gynae check-ups and prompt evaluation of any concerning symptoms can help detect vulvar abnormalities early when they are most treatable.
Vulvoscopy is generally a safe and well-tolerated procedure with minimal risks. Some patients may experience mild discomfort or a slight burning sensation when the acetic acid or iodine solution is applied to the vulvar skin, but this usually subsides quickly. If a biopsy is taken during the vulvoscopy, there is a small risk of bleeding, infection, or scarring at the biopsy site. Rarely, some patients may have an allergic reaction to the solutions used during the procedure. It is important to discuss any concerns or pre-existing conditions with your healthcare provider before the vulvoscopy to minimise potential risks.
A vulvoscopy is typically recommended for women who experience persistent vulvar symptoms, such as itching, burning, pain, or visible skin changes. This procedure may also be advised for women with a history of vulvar conditions, such as lichen sclerosus or lichen planus, or those with a history of abnormal Pap smear results or HPV infection. Postmenopausal women with vulvar symptoms or visible changes may also benefit from a vulvoscopy, as they are at a higher risk for vulvar cancer. Your healthcare provider will discuss the need for a vulvoscopy based on your individual symptoms, risk factors, and medical history.
We provide a comprehensive range of services, from private GP consultations and specialised men's and women's health care to advanced ultrasound scans and proactive health screenings, all within a reassuring and state-of-the-art environment.
You have a question about Vulvoscopy? We have an answer.
Most women experience only minor discomfort during a vulvoscopy, similar to what they may feel during a regular pelvic exam. The application of acetic acid or iodine solution to the vulvar skin may cause a slight burning or stinging sensation, but this usually subsides quickly. If a biopsy is taken during the procedure, you may feel a brief pinching or pressure, but local anaesthesia is typically used to minimise discomfort.
The time it takes to receive the results of a vulvoscopy can vary depending on whether a biopsy was taken during the procedure. If no biopsy was needed, your healthcare provider may be able to discuss their visual findings with you immediately after the vulvoscopy. However, if a biopsy was performed, the tissue sample will need to be sent to a laboratory for analysis, which can take 1 to 2 weeks. Your healthcare provider will schedule a follow-up appointment to discuss the biopsy results and any necessary next steps.
Yes, you can have a vulvoscopy during your period. Unlike a Pap smear or pelvic exam, the presence of menstrual blood does not interfere with the vulvoscopy procedure or the ability to visualise the vulvar skin. However, if you are concerned about your comfort level or prefer to schedule the procedure at a different time, discuss your preferences with your healthcare provider.
At Spital Clinic, a private Vulvoscopy with our expert Consultant gynaecologists costs £570. We are open 7 days a week and can offer morning, day and evening appointments. If you are using private health insurance, please call the clinic to provide your authorisation number. To book, please click here.
An ultrasound scan, also known as sonography, is a medical imaging technique that uses high-frequency sound waves to create images of the inside of the body. It is a safe and painless procedure that does not use ionising radiation. Ultrasound scans are commonly used to monitor pregnancy, diagnose conditions, and guide medical procedures. The images are created in real-time, allowing healthcare professionals to view the structure and movement of internal organs and tissues.
In most cases, you will not need to take time off work after a vulvoscopy. The procedure is typically performed in an outpatient setting and does not require any significant recovery time. You should be able to resume your normal activities immediately after the vulvoscopy. However, if a biopsy was taken during the procedure, you may experience some mild discomfort or light bleeding for a few days, which can be managed with over-the-counter pain relief medication and sanitary pads.
The frequency of vulvoscopy procedures depends on your individual medical needs and the reason for the initial procedure. If the vulvoscopy results are normal and you do not have any ongoing vulvar symptoms or risk factors, you may not need to repeat the procedure. However, if you have a chronic vulvar condition, such as lichen sclerosus or vulvar intraepithelial neoplasia (VIN), your healthcare provider may recommend periodic vulvoscopies to monitor the condition and check for any progression or changes. Additionally, if you develop new or persistent vulvar symptoms, your provider may suggest a repeat vulvoscopy to re-evaluate the vulvar skin. Your healthcare provider will develop a personalised plan based on your specific circumstances and medical history.
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"Great experience. Frustratingly we had 3 NIPTs come back with no result so had to do 3 blood redraws but thanks to LPC’s persistence we finally got a result on the 4th draw. After the 3rd no result they also kindly offered us a free anomaly scan."
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Our medical centre is at 36 Spital Square, E1 6DY, City of London.
