MEDICAL
Vulvar Clinic
The Vulvar Clinic is a comprehensive specialist service for women with vulvar skin complaints and is located in our St Kilda East consulting rooms. Women will be consulted by both Dermatologist Dr Alice Rudd and Gynaecologist Dr Felicity Gould in the same consultation. This combined service provides complete physical examination of both the skin and gynaecological systems to achieve diagnosis and treatment for both acute and chronic vulvar conditions.
Treatment will include patient education, general vulvar care, tailored medical and surgical management as appropriate and ongoing follow-up.
• Vulvar/perineal biopsies
• High and low Vaginal swabs
• STI screening
• Cervical Screening including HPV screening under new guidelines.
• Removal of suitable lesions under local Anaesthetic
• Vaginal and vulvar laser therapy for atrophy (currently off site in Parkville or Malvern). Surgical management for non-malignant conditions that cannot be attended to under local anaesthetic will be arranged where appropriate at both Frances Perry House and Epworth Freemasons under the care of Skindepth Gynaecologist Dr Felicity Gould. Such conditions may include amongst others;
• Marsupialisation of perineal/vulvar lumps and abscesses
• Removal of labial tags/lesions
Vaginoplasty for vaginal stenosis or other vaginal lesions
• Excision of vulvar lesions requiring GA
• Please note that cases of known VIN, VAIN and Cervical abnormalities requiring Colposcopy will not be managed by Skindepth. These cases will be referred on to clinicians experienced in the care of gynaecological and vulvar malignancy and premalignant care.
Diagnosis and Management of Acute and Chronic Vulvar Symptoms Itch
• Pain
• Discomfort
• Sexual dysfunction
Diagnosis and Management of Vulvar Lesions Pigmented
• Rash
• Lumps/masses
• Initial assessment and biopsy diagnosis of possible VIN and VAIN.
Diagnosis and Management of Specific conditions Lichen Sclerosis
• Lichen planus
• Contact/Irritant dermatitis
• Recurrent and treatment refractory • Candidiasis Vulvovaginal Atrophy
• Vulvodynia
• Vulvar psoriasis.
• Vaginitis – Infective and none infective
• Vaginal Stenosis
• Perineal scarring
• Vaginal/Perinanal Warts
Diagnosis and Assessment of Sexual Dysfunction (Note: some women may require additional input by specialist pelvic floor physiotherapists and/or sexual counsellors – however this can be arranged by our team).
• Dyspareunia
• Levator Spasm
• Vaginismus
