Vulval & Vaginal Health: Specialist Diagnosis and Care

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.

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, 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.

Many women experience episodes of vaginal irritation, itching, or infection 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 or delay proper diagnosis.

You should seek specialist evaluation if you experience:

• Persistent itching or burning
• Redness, swelling, or soreness
• Changes in skin colour, texture, or appearance
• Lumps, ulcers, or non-healing patches
• Unusual discharge or odour
• Pain during intercourse
• Ongoing discomfort despite treatment

Early assessment ensures proper diagnosis and effective treatment.

A vulvoscopy is a simple, painless examination that allows your consultant to examine the vulval skin under magnification using a colposcope.

The colposcope remains outside your body — it simply magnifies the skin surface to identify subtle changes that may not be visible to the naked eye.

What Happens During Vulvoscopy:

• The procedure takes around 15-20 minutes
• You lie comfortably on an examination couch
• The specialist examines the vulval area using magnification
• Gentle solutions (acetic acid and iodine) may be applied to highlight any abnormal areas
• You might feel mild tingling, but the examination should not be painful
• A nurse remains with you throughout for reassurance and comfort

When Vulvoscopy Is Recommended:

• Persistent itching, redness, or swelling
• Changes in skin colour, texture, or appearance
• Ongoing soreness or ulceration
• Non-healing patches or lesions
• Suspicious skin changes requiring investigation

If an abnormal area is identified during vulvoscopy, a small biopsy may be taken to confirm the diagnosis.

What Happens During Biopsy:

• Local anaesthetic is used to numb the area
• The anaesthetic may sting briefly but then removes further discomfort
• A small tissue sample is taken for laboratory analysis
• The procedure usually lasts 20-30 minutes
• One or two dissolvable stitches may be used
• Results are typically available within 1-2 weeks

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 can be used
• 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

Contact your doctor promptly if you notice increased pain, swelling, fever, or unusual discharge.

Healthy vulval care is based on gentle habits:

• Wash daily with warm water only, or a mild non-perfumed cleanser
• 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.

Dr Mohamed Otify provides expert vulval health assessment with specialist examination and biopsy when needed.

His approach prioritizes:

• Thorough examination using magnification for accurate diagnosis
• Gentle, comfortable procedures with nurse support
• Clear explanation of findings and treatment options
• Prompt biopsy results and follow-up care
• Compassionate, discreet environment
• Expert management of vulval skin conditions and concerns

If you're experiencing ongoing irritation, discomfort, or visible skin changes in the vulval area, book a consultation for professional assessment and effective treatment.