The VPAC provides a thorough multidisciplinary assessment for individuals
experiencing chronic vulvar pain.
Your Journey through the Vulvar Pain Assessment Clinic
Initial Assessment: Your first appointment will be with a gynaecologist. This hour-long session will include a discussion and a gentle physical exam. We will review your medical and pain history in detail, including the impact of pain on your daily activities, relationships and sexual health. The physical exam will rule out other causes of vulvar pain, such as infection or a skin condition.
You will then meet with the Clinical Coordinator who will guide you through the remainder of the assessment process.
What to expect at your Initial Appointment
Psychologist: Psychosocial factors, such as anxiety, can contribute to vulvar pain. In some individuals these factors can also be exacerbated by the pain. Sexual pain commonly has an impact on sexual self-esteem and relationship. Your one hour appointment with the psychologist will explore these factors and determine to what degree they contribute to your pain. Virtual appointments are an option.
What to expect at your Psychology Appointment
Pelvic Floor Physiotherapist: Individuals who experience chronic vulvar pain will likely have increased tension in the pelvic floor muscles. During your one hour in-person appointment with the physiotherapist biofeedback will be used to increase your awareness and conscious control of the tightness of these muscles.
What to expect at your Physiotherapy Appointment
Treatment Planning: Following the three assessment appointments you will meet with a gynaecologist to develop a longterm treatment plan. A virtual option is available. At this appointment, you will have the opportunity to identify your treatment goals, discuss what you have learned, what treatments you feel will be of the most benefit going forward, and the next steps/plans to pursuing these treatments. We will provide you with resources within the community to implement this plan. A summary of this discussion is then forwarded to you, as well as the physician who will be resuming your ongoing care. You are encouraged to meet with their providers to review their progress and make plans for ongoing care in the community.
Vancouver Coastal Health provides health care services through a network of hospitals, primary care clinics, community health centres and residential care homes. Search our health care services in Vancouver, Richmond, North and West Vancouver and along the Sea-to-Sky Highway, Sunshine Coast and BC’s Central Coast.
