Vulval / Vaginal Disorders

This condition is treated in the Gynaecology clinic.

Pre-referral work-up

History

Patients may be referred for chronic itch, abscess, lichen sclerosis, Bartholin's cysts, vaginal cysts, vulval cysts or vulval/vaginal pain

All referrals should comply with referral standards and include in particular:

• History of complaint including chronicity
• Associated factors - Candida
• Age of patient and menopause status
• Symptoms of discharge or systemic illness
• Appearance of vulva

Tests

• Swab for M/C/S
• FBC, CRP if signs of systemic illness
• Pap smear

Interim/GP management

To refer a patient with this condition, please see the Gynaecology clinic page for the full referral process and templates.

Use of mild topical cortisone cream for a short period may be appropriate.

Treat candida-vaginally and topically. Avoid soap and shower gels.

Note: Antibiotics are of no value for Bartholin's cysts.

For more information please see the HealthPathways Tasmania website.

Clinic appointments

🚩 Red location flags are clinical indicators of possible serious underlying conditions requiring further medical intervention. They may or may not indicate an emergency.

Urgent (Category 1)

🚩 Ulcers in menopausal patients with history of chronic itching

🚩 Ulcers that haven't healed with short course of emollients or mild steroid cream

🚩 Patient with co-existent abnormal pap smear

🚩 Suspected Lichen Sclerosis

Urgent referrals should be accompanied by a phone call to the Consultant/Registrar to organise urgent review.

We will endeavour to see these patients within four weeks, or sooner if clinically indicated.

Availability

North

Launceston General Hospital (Level 5)
Phone:  1300 977 694
Fax: 03 6777 5214

North West

North West Regional Hospital
Phone: 6493 6300
Fax: 6464 1928

Mersey Community Hospital
Phone: 1800 636 455 
Fax: 6441 5928

South

Wellington Clinics (Level 8)
Phone: 03 6166 0000
Fax: 03 6173 0473