Vulval & Vaginal Health
Expert Care for Sensitive and Intimate Concerns
Dr Mohamed Otify, Consultant Gynaecologist and Gynaecological Oncologist, offers specialist assessment and treatment for vulval irritation, vaginal infections, and related conditions. These are common concerns that can cause discomfort and worry, but with the right care, they are usually straightforward to manage.
Understanding the Vulva
The vulva refers to the external part of the female genital area, which includes the outer and inner lips (labia majora and labia minora), the clitoris, the mons pubis (the soft mound above the pubic bone), and the openings of the vagina and urethra. This delicate area is highly sensitive to hormonal, bacterial, and chemical changes, so proper care and early evaluation of any symptoms are important.
Why Vulval and Vaginal Care Matters
Many women experience episodes of vaginal irritation, itching, or infection (vaginitis) at some point. These may be caused by bacterial imbalance, thrush, contact irritation, or, rarely, precancerous skin changes. Symptoms that persist or worsen should always be assessed by a gynaecologist — self-treating with over-the-counter remedies can sometimes make things worse. Additionally, conditions such as fibroids or gynaecological cancer should be ruled out during consultations.
Vulvoscopy Examination
A vulvoscopy is a simple, painless examination that allows Dr Otify to examine the vulval skin under magnification using a colposcope. This does not touch or enter your body — it simply magnifies the skin surface to identify subtle changes. The procedure takes around 15–20 minutes and is usually recommended if you have persistent itching, redness, or swelling, a change in skin colour, texture, or appearance, or ongoing soreness, ulceration, or non-healing patches. During the examination, gentle solutions (acetic acid and iodine) may be applied to highlight any abnormal areas. You might feel mild tingling, but it should not be painful. A nurse will remain with you throughout for reassurance and comfort.
Vulval Biopsy
If an abnormal area is identified, a small biopsy may be taken to confirm the diagnosis. Local anaesthetic is used to numb the area — this may sting briefly but then removes any further discomfort. The procedure usually lasts 20–30 minutes and may involve one or two dissolvable stitches. For severe cases, consultation about potential treatments such as hysterectomies or robotic surgery may be discussed.
Aftercare Advice
To help healing and reduce infection risk: Rest for 24–48 hours and avoid heavy exercise for a few days. Expect light bleeding or mild discomfort — simple pain relief is fine to use. Avoid sexual intercourse for two weeks or until fully healed. Keep the area clean and dry. Shower rather than bathe, and avoid perfumed soaps or products. Wear loose cotton underwear and avoid tight clothing. Stitches usually dissolve within 7–10 days. Swimming can resume once the area has healed completely. If you notice increased pain, swelling, or discharge, contact your doctor promptly.
Tips for Everyday Vulval Care
Healthy vulval care is simple and based on gentle habits: Wash daily with warm water only, or a mild non-perfumed cleanser such as Dermol®. Avoid scented soaps, shower gels, and bubble baths. Use white, 100% cotton underwear; avoid synthetic fabrics and thongs. Rinse new undergarments before wearing and use minimal detergent. Avoid deodorant sprays, scented wipes, or powders on the vulva. Change out of damp clothing or swimwear promptly. Never douche unless medically advised — the vagina naturally cleanses itself. Use soft, white toilet tissue and pat dry gently. Avoid scratching irritated skin — this can worsen inflammation. Small changes can make a significant difference to comfort and long-term skin health.
If you’re experiencing ongoing irritation, discomfort, or visible skin changes in the vulval area, you can book a discreet and professional consultation with Dr Mohamed Otify, including options for online consultation. Early assessment ensures peace of mind and effective relief, supported by patient testimonials from those who have benefitted from minimal access surgery and laparoscopic procedures.
