Vulval / Vaginal Disorders
North South North West Statewide
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
- Swab for M/C/S
- FBC, CRP if signs of systemic illness
- Pap smear
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.
Proceed to Emergency Department (ED).
LGH ED Reception – Phone: (03) 6777 6405 Fax: (03) 6777 5201
MCH ED* – Phone: (03) 6478 5120 Fax: (03) 6441 5923
NWRH ED* – Phone: (03) 6493 6351 Fax: (03) 6464 1926
RHH ED Reception – Phone: (03) 6166 6100 Fax: (03) 6173 0489
Advice for medical practitioners can be given by the Medical Officer In Charge (MOIC) - see HealthPathways Tasmania for contact information.
*MCH and NWRH MOICs request GPs call them prior to referring a patient to ensure the patient is being sent appropriately to a safe destination.
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.
Will be seen in turn.