Vulval / Vaginal Disorders

Availability

North South North West Statewide

Pre-referral work-up

History

Patients may be referred for chronic itch, abscess, lichen sclerosis, Bartholin's cysts, vaginal cysts, vulval cysts or vulval/vaginal pain

All referrals should comply with referral standards and include in particular:

  • History of complaint including chronicity
  • Associated factors – Candida
  • Age of patient and menopause status
  • Symptoms of discharge or systemic illness
  • Appearance of vulva

Tests

  • Swab for M/C/S
  • FBC, CRP if signs of systemic illness
  • Pap smear

Interim/GP management

To refer a patient with this condition, please see the Gynaecology clinic page for the full referral process and templates.

Use of mild topical cortisone cream for a short period may be appropriate.

Treat candida-vaginally and topically. Avoid soap and shower gels.

Note: Antibiotics are of no value for Bartholin's cysts.

For more information please see the Tasmanian Health Pathways website.

Urgent / category 1

Ulcers in menopausal patients with history of chronic itching

Ulcers that haven't healed with short course of emollients or mild steroid cream

Patient with co-existent abnormal pap smear

Suspected Lichen Sclerosis

Red flags are clinical indicators of possible serious underlying conditions requiring further medical intervention. They may or may not indicate an emergency.

Emergency:

Proceed to Emergency Department (ED). Please contact ED Medical Officer in Charge:
LGH ED – Phone: (03) 6777 6405  Fax: (03) 6348 7382
MCH ED – Phone: (03) 6478 5120  Fax: (03) 6441 5923
NWRH ED – Phone: (03) 6493 6340 Fax: (03) 6464 1926
RHH ED - Phone: (03) 6166 6100  Fax: (03) 6173 0489

Urgent:

Urgent referrals should be accompanied by a phone call to the Consultant/Registrar to organise urgent review and the referral must be faxed.

We will endeavour to see these patients within four weeks, or sooner if clinically indicated.

Semi-urgent:
Routine:

Will be seen in turn.