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.



For information on how to refer a patient to the BC Centre for Vulvar Health click here


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.

Vulvar Pain Assessment Clinic

This is a multidisciplinary assessment clinic which introduces strategies for managing vulvar pain for women with a new diagnosis of vulvodynia. We work with patients to develop a treatment plan, but do not provide ongoing care.

Follow up care is provided by the referring physician.

Women >19 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.
  • deep dyspareunia/pelvic pain.
  • sexual pain NOT related to a vulvar disorder.
  • 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).

Vulvodynia Treatment Resources 2020 Resources for evidenced-based psychological supports to manage pain, but also to help women and their partners to get back to having a happy and healthy 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.