Health Care Professionals2018-08-28T16:28:35+00:00

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.

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 referral form (pdf).
  • Your doctor can then submit by email or fax at 604-875-5807.

Unfortunately due to a sudden increase in the number of referrals to the Centre this summer, we have filled all new patient referral assessment appointments in the Vulvar Disease Clinic and the Multidisciplinary Vulvodynia Program for the next 6 months.  Please submit new referrals for these clinics after November 1, 2018.  

TRIAGE PROCESS

Once we receive your referral, your doctor’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 doctor.
  • 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 but can range from 4-6 months.

  • When wait times exceed 6 months for a new patient appointment, we will temporarily stop accepting new referrals for benign vulvar diseases. We will inform your office as to the date when we will begin accepting new referrals. Please note that alternative health care providers are listed at the bottom of this page.
  • When we advise your doctor’s office of the triaging process, we will also indicate the approximate wait time.

When your name comes up on the waitlist, we will contact the patient directly to book the assessment appointment.

  • Multidisciplinary Vulvodynia Program (MVP) – if you are on the wait list for the MVP, the Clinic Care Coordinator will also contact you prior to the assessment to describe the various components of 5-10 session program.

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.
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. http://www.bcwomens.ca/our-services/pregnancy-prenatal-care/complications-in-pregnancy/infectious-diseases-clinic

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. See attached referral form.Paeds-Adolescent Gynaecology Referral 2017-06-15

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.  http://psychiatry.vch.ca/bccsm.htm

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). http://www.bcwomens.ca/our-services/gynecology/pelvic-pain-endometriosis/

GENERAL ENQUIRIES

  • (604) 875-5022 Physicians Press #2

  • info@bcvulvarhealth.ca

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

OFFICE HOURS

Monday – Thursday  8:00 – 3:30

OUR CORE SERVICES