Health Care Professionals

The BC Centre for Vulvar Health offers different programs and services to adult women in British Columbia with chronic and complex vulvar disorders.


October 2019 AlertClinic Wait Times (approximately)

Vulvar Disease Clinic : Urgent 2-4 weeks. Non-urgent 9 months.

Vulvar Oncology Clinic: Urgent 5 weeks. Non-urgent 6 months.

Vulvodynia Program: New Patient Assessments: 6 months.  We are now accepting new patient referrals for the assessment of 19-45 year old women with chronic vulvar pain (vulvodynia).   Due to our resource constraints, please note that we are no longer able to see women over the age of 45.  Click here to view alternate health care providers


HOW TO REFER

If you would like to be seen at the BC Centre for Vulvar Health,

  • Please discuss with your physician (G.P. or specialist), and have them fill out both pages of the BC CVH Temp Referral (pdf).
  • Your physician can then submit by email or fax at 604-875-5807. 
  • We only accept referrals from B.C. physicians for residents of B.C.

TRIAGE PROCESS

Once we receive your referral, your physician’s office will be sent an Acknowledgement fax.

  • If the Acknowledgement fax is not received within a couple of days, it means we did not receive the referral.  Please fax the referral again.

Once received in full, the referral will be reviewed.

  • We will fax the results of the triaging process to your referring physician.
  • To facilitate the triage process, ensure that the correct referral form is filled out in full, and that all consults are sent accordingly.

Wait times: are different for each clinic.

  • We try and book new patient appointments 3-6 months in advance.
  • When estimated wait times for an initial appointment exceed 12 months, we will temporarily STOP accepting new referrals for this clinic.  Click here to view alternate health care providers

When a patient’s name comes up on the waitlist, we will contact the patient directly to book her  appointment. Please indicate on the referral the best way to contact your patient (eg. mobile phone or email). A message will be left for the patient with a specific date and time for the appointment.

The patient will need to CONFIRM this appointment within 48 hours by leaving a message on our confirmation line. If we do not hear from the patient, the appointment will be given to another patient.  Only those patients who provide more than 48 hours notice are eligible to re-book an appointment.

  • Multidisciplinary Vulvodynia Program (MVP) –  the Clinic Care Coordinator will contact women referred to the MVP by phone prior to their assessment appointment. The Coordinator will review the format and content of the 5-10 MVP sessions with patients.  This is to check interest and willingness to participate in the multidisciplinary care program. If patients choose not to participate we will inform the referring doctors office.  Assessment does not guarantee entry into the MVP.

INCLUSION AND EXCLUSION CRITERIA FOR CLINICS

Clinic Inclusion (patients accepted) Exclusion
Vulvar Disease Clinic Women >16 years old with

  • more than 3 months of vulvar symptoms that associated with objective clinical findings.
  • no symptoms but objective vulvar skin changes and or lesions.
Women referred for

  • general gynecological care (eg. Pap smear).
  • cosmetic gynecological surgery.
  • emergency gynecologic care (eg. acute bartholin’s cyst). Please refer these patients directly to emergency.
Multi-disciplinary Vulvodynia Program Women >18 years of age with >6 months of

  • vulvar discomfort or pain NOT related to a specific disorder (eg. herpes) or associated with objective clinical findings.
  • superficial pain with vaginal penetration/sexual intercourse NOT related to a specific disorder (eg. atrophy), or associated with objective clinical findings.
Women who

  • do not have a physicians willing to provide shared-care. Our patients are discharged back to their health care provider for ongoing care.
  • are currently breastfeeding and/or less than 6 months’ post-partum.
  • are not fluent in English (at this time psychoeducational interventions are in English).
  • deep dyspareunia/pelvic pain.
  • complex chronic pain patients with multiple pain conditions.
  • untreated psychiatric conditions (eg. depression)
Vulvar Intra-epithelial Neoplasia (VIN) Follow up Clinic Women >16 years of age with

  • previously diagnosed and treated VIN for long term surveillance.
Women who have

  • objective vulvar skin changes that are suspicious for VIN that need immediate assessment/treatment.
Vulvar Oncology Clinic Women >16 years of age with

  • objective vulvar skin changes that are suspicious for VIN or vulvar cancer.
  • biopsy proven VIN referred for treatment.
  • benign vulvar conditions requiring complex vulvar surgery (eg. Crohn’s disease).
Women with

  • biopsy proven vulvar cancer should be referred directly to BCCA.

ALTERNATIVE HEALTH CARE PROVIDERS IN BC

For adult women with herpes, recurrent or complex vaginitis, consider a referral to the Infectious Disease Clinic at BC Women’s Hospital.

For young women (<18 years of age) and or girls consider a referral to a Pediatric and Adolescent Gynecologist. In Vancouver, patients can be referred to Dr. Debra Millar, Dr Ellen Giesbrecht, and/or Dr. Nicole Todd. Click for referral form.

For adult women with sexual concerns (including sexual pain) consider a referral to the BC Centre for Sexual Medicine. The Centre offers assessment and treatment of: difficulties with sexual interest, arousal and orgasm; experience of pain associated with sexual activities; problems in completing chosen sexual acts such as intercourse.

For women with pelvic pain or deep dyspareunia consider a referral to the Centre for Pelvic Pain and Endometriosis at BC Women’s Hospital. The Centre offers an interdisciplinary approach to chronic pelvic pain that includes a combination of pain education workshops, pelvic floor physiotherapy, clinical counselling, medical management and surgery (including advanced excisional laparoscopic surgery).

West Coast Centre for Sex Therapy apply evidence-based psychological treatments to manage pain, but also to help women and their partners to get back to having a happy and health sex life.

Chronic Pain Resources 

Pain BC  Pain education for providers and patients (including teens), toolboxes, support forums, coaches, and self management programs.

Pain Improvement A step-by-step self-management pain program with pain education.

GENERAL ENQUIRIES

  • (604) 875-5022 Physicians Press #2

  • Phone lines are open Monday-Friday 8-3:15 (closed 12-1 pm)

  • Appointments are offered Monday-Thursday 8-3:30

  • info@bcvulvarhealth.ca

  • 6th Floor, Gordon and Leslie Diamond Health Care Centre
    2775 Laurel Street, Vancouver, BC, V5Z 1M9

OUR CORE SERVICES