Vulvoscopy is an examination that allows the visualization of the woman's intimate region in a range 10 to 40 times greater, showing changes that cannot be seen with the naked eye. In this examination, the Mount of Venus, large lips, interlabial folds, small lips, clitoris, vestibule and perineal region are observed.
This examination is done in the office by the gynecologist, and is usually done together with the cervical examination, using reagents such as acetic acid, toluidine blue (Collins test) or iodine solution (Schiller test).
Vulvoscopy does not hurt, but it can make a woman uncomfortable at the time of the exam. Always having the exam with the same doctor can make the exam more comfortable.
What is vulvoscopy for?
Vulvoscopy is used to diagnose diseases that cannot be seen with the naked eye. This test is especially indicated for women with suspected HPV or who have had a change in the pap smear. Vulvoscopy with biopsy can also help in the diagnosis of diseases such as:
- Chronic vulvar itch; Vulvar intraepithelial neoplasia; Vulvar cancer; Lichen planus or sclerosus; Vulvar psoriasis and Genital herpes.
The doctor can only assess the need to perform a biopsy during observation of the genital region, if there is any suspicious lesion.
How is done
The exam lasts 5 to 10 minutes, and the woman must lie on the stretcher, face up, without underwear and keep her legs open in the gynecological chair so that the doctor can observe the vulva and the vagina.
Preparation before the vulvoscopy exam
Before performing a vulvoscopy it is recommended:
- Avoid any intimate contact 48 hours before the exam; Do not shave the intimate region 48 hours before the exam; Do not introduce anything into the vagina such as: vaginal medications, creams or tampons; Do not menstruate during the exam, preferably it should be done before menstruation.
Taking this care is important because when the woman does not follow these guidelines, the test result may be altered.
