Outpatient sample
Vulval biopsy
A small tissue sample from the vulva, taken under local anaesthetic in clinic, to clarify the cause of skin changes, persistent itching or chronic symptoms.
- In clinic
- 15–25 minutes
- Local anaesthetic
Overview
About this procedure.
Many patients live with chronic vulval symptoms for years before a clear diagnosis is made. A small vulval biopsy (taken under local anaesthetic in clinic) usually gives a definitive answer within a fortnight.
The right diagnosis matters: conditions like lichen sclerosus and lichen planus are very treatable, but the treatment is very different from thrush or general dryness.
Setting
In clinic
Duration
15–25 minutes
Anaesthetic
Local anaesthetic
Indications
What it's for.
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Persistent vulval itching, burning or pain
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Skin changes: pale patches, thickening, splitting or discolouration
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Suspected lichen sclerosus, lichen planus or other inflammatory skin conditions
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Suspicious-looking moles or lesions
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Investigation of recurrent symptoms not responding to standard treatment
On the day
How it's done.
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Performed in a private treatment room with a chaperone present
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The area is numbed with a small injection of local anaesthetic
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A small punch or shave biopsy is taken, usually just 3–4 mm across
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One or two dissolvable stitches may be used
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Sample is sent to the laboratory for analysis
Recovery
After your procedure.
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Mild soreness for a few days
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Salt baths help healing
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Avoid swimming, intercourse and very tight clothing for one to two weeks
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Results usually available within 7–14 days
Benefits
Why this approach.
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Definitive diagnosis of chronic vulval symptoms
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Guides the right long-term treatment plan
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Quick, day-case procedure under local anaesthetic
Risks
What to be aware of.
- Soreness and bruising
- Light bleeding
- Infection (uncommon)
- Small scar at the biopsy site
Related conditions
Often seen alongside.