The Scottish Vulval Clinic
The Scottish Vulval Clinic is dedicated to helping women with vulval complaints such as vulval pain or itching, caused by a variety of conditions including thrush and lichen sclerosus.
These complaints can interfere with day to day activities as well as affecting intimate relationships with a partner. It can be difficult to discuss this with a friend or even with your doctor.
The aim is to investigate and treat the cause of your symptoms. Even if there is no obvious cause for the symptoms we work with you to help you manage your symptoms so as to minimise, as much as possible, their impact on your quality of life.
The clinic benefits from the expertise of gynaecologist Dr Simone Vella, who has a special interest in vulval disorders. The clinic also has access to a physiotherapist with a special interest in pelvic complaints also working at BMI Ross Hall Hospital.
DR SIMONE VELLA
Dr Simone Vella is a consultant gynaecologist, who helps run the tertiary gynaecology dermatology clinic for NHS Greater Glasgow & Clyde
A SWAB TEST CHECKS FOR INFECTIONS WHICH MAY BE CAUSING YOUR COMPLAINT OR WHICH MAY BE MAKING YOUR CONDITION WORSE.
VULVAL SKIN BIOPSY
SOMETIMES A BIOPSY, A SMALL SAMPLE OF SKIN, IS TAKEN FROM THE AFFECTED AREA AND SENT TO THE LABORATORY TO ALLOW A DIAGNOSIS TO BE MADE. THIS CAN BE DONE IN THE CLINIC AFTER THE APPLICATION OF LOCAL ANAESTHETIC TO THE BIOPSY SITE OR ALTERNATIVELY THIS CAN BE DONE UNDER A GENERAL ANAESTHETIC.
These investigations are performed to help make a diagnosis and guide your treatment.
OFTEN THIS IS IN THE FORM OF OINTMENTS APPLIED DIRECTLY TO THE AFFECTED AREA. OINTMENTS ARE USED IN PREFERENCE TO CREAMS BECAUSE THEY DO NOT CONTAIN PRESERVATIVES; PRESERVATIVES CAN CAUSE ALLERGIC REACTIONS
DIFFERENT TECHNIQUES MAY BE USED TO HELP WHEN VULVAL PAIN MAKES INTERCOURSE DIFFICULT
SOME VULVAL CONDITIONS MAY CAUSE NARROWING OF THE VULVA CAUSING DIFFICULTING WITH PASSING URINE OR WITH HAVING INTERCOURSE. SURGERY MAY HELP TO CORRECT THIS. REMOVAL OF PRE-CANCEROUS LESIONS MAY ALSO BE NECESSARY
We will spend time going through the treatment options for your particular condition to ensure that your treatment is tailored to suit you.
THE INTERNATIONAL SOCIETY FOR THE STUDY OF VULVOVAGINAL DISEASE
The website of the International Society for the Study of Vulvovaginal Disease contains a wealth of useful information about various conditions which can affect the vulva
BRITISH ASSOCIATION OF DERMATOLOGISTS
The British Association of Dermatologists have produced patient information leaflets about the commoner vulval skin conditions which can be accessed on their website
TOP 7 HEALTH TIPS OF THE SEASON
1. Remember to use a soap substitute for your vulval hygiene. Water alone can make the skin feel dry.
2. Avoid adding salts or bubble baths to your bath. Try adding your emollient with a few drops of lavender oil instead.
3. Apply a fragrance free emollient to the skin after bathing and reapply as necessary. Check with your doctor as to which is most suited to your skin.
4. Make sure you apply an emollient before using a swimming pool; the chemicals in the pool water can otherwise irritate your skin.
5. Avoid scented or coloured toilet paper
6. Use white cotton or silk underwear
7. Avoid biological washing powders as these may irritate your skin
VULVAL HEALTH AWARENESS CAMPAIGN
The website has a useful vulval self examination leaflet which encourages women to self examine at least every three months. By becoming familiar with what is normal for you, it becomes easier to pick up changes
During your first consultation we will go through your history and perform an examination. We will discuss any investigations which may be necessary and a treatment plan.
Your first consultation will usually last around 30minutes.
If you feel you need more time for your initial consultation please ask for an extended appointment; this will be for 45 minutes
At your initial appointment we will plan a return appointment so that we can discuss your response to treatment
Due to the ongoing pandemic you can arrange a phone consultation, if you prefer, using the link at the top of the page. These consultation are charged at the same rate as face to face consultations. For initial telephone consultations it is usually necessary to arrange a subsequent face to face consultation to allow examination of the vulva