North South North West Statewide
Patients may be referred for chronic vulva irritation, vulva abscesses, and vulva ulceration.
Vulvar Cancer; see Gynaecological-Oncology Clinic.
All referrals should comply with referral standards and include in particular:
- History of condition, including itch, discharge,
- Menopausal status
- Obstetric and gynaecological history, and sexual history
- Current and past treatments and efficacy of same
- Good description of the lesion – pigmented, bleeding, ulcerated
- Presence or absence of chronic diseases such as Crohn's
- Swab – m/c/s if indicated
- STD screen including swab of ulcer for herpes, serology for syphilis
- Biopsy of chronic lesions – if within skill set of GP
- Pap smear
- Exclude UTI
To refer a patient with this condition, please see the Gynaecology clinic page for the full referral process and templates.
Moisturisers - bland emollients such as Zinc/Castor oil cream.
Treat Herpes Simplex with appropriate anti-virals. Hospitalisation may be needed if unable to urinate
For more information please see the Tasmanian Health Pathways website.
Urgent / category 1
Ulcers in menopausal patients
Ulcers that haven't healed with short course of emollients or mild steroid cream
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.