The Vulvar Disease Clinic at the BCCVH assesses and manages women with chronic vulvar symptoms (more than 3 months of symptoms) and/or asymptomatic vulvar conditions or lesions. At Vancouver Coastal Health we have been running a clinic specifically for women with vulvar disorders since 1991. In 2017, we expanded and enhanced our services by adding in additional health care providers and additional clinics.
Women with vulvar diseases present with a range of symptoms and signs. A common symptom of many vulvar diseases is vulvar itch. Women may also experience vulvar burning, soreness, rawness, or pain. They may experience difficulty with daily living activities, and sexual activities. Women may also notice changes to their skin, physical lesions (sores, ulcers) on their skin, and or abnormal bleeding or discharge in the area. Unfortunately, many vulvar diseases have similar symptoms and signs and it requires an expert to diagnoses the specific disease.
Conditions Seen in the Vulvar Disease Clinic include:
Inflammatory conditions (infectious)
Vaginitis: candidiasis, trichomoniasis, bacterial vaginosis
Vulvitis: tinea cruri, herpes simplex, genital warts
Inflammatory skin conditions (non-infectious)
Irritant/contact dermatitis, allergic dermatitis
Atrophic vulvovaginitis (post-menopausal)
Lichen sclerosus, lichen planus, lichen simplex chronicus
Plasma cell vulvitis
Chronic vulvar purpura
Systemic disorders with vulvar manifestations
Lupus, Crohn’s disease, hidradenitis suppurativa
Reiter’s disease, Bechet’s disease, blistering disorders (e.g. pemphigoid)
Lymphedema, lymphangitis circumscriptum
Benign cysts, and benign tumors of the vulva
Sebaceous cysts, epidermal inclusion cysts, vestibular cysts, Skene duct cysts, lipomas, fibromas, leiomyoma, endometriomas, acrochordons, seborrheic keratosis, pyogenic granuloma
Please see our Health Information section for general information about how to take care of your skin and detailed information about skin conditions.
Women with benign vulvar diseases will often benefit from seeing other health care providers in the Centre (eg. psychologist) to address their overall health concerns related to their vulvar condition.