Vulvoscopy is an examination that allows visualization of the woman's intimate region 10 to 40 times larger, showing changes that can not be seen with the naked eye. In this examination are observed the Mount of Venus, large lips, interlabial furrows, small lips, clitoris, vestibule and perineal region.
This examination is done in the office by the gynecologist, and is usually done along with the examination of the cervix using reagents such as acetic acid, toluidine blue (Collins test) or iodine solution (Schiller's test).
The vulvoscopy does not hurt but may make the woman uncomfortable at the time of the examination. Taking the exam always with the same doctor or doctor can make the exam more comfortable.
What is vulvoscopy for?
Vulvoscopy is used to diagnose diseases that can not 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 may also aid in the diagnosis of diseases such as:
- Itching in the chronic vulva;
- Vulvar intraepithelial neoplasia;
- Vulvar cancer;
- Flat or sclerosus lichen;
- Psoriasis vulvar and
- Genital herpes.
The doctor can only assess the need to perform the biopsy during observation of the genital region if there is any suspicious lesion.
How is done
The examination lasts 5 to 10 minutes, and the woman should lie on the stretcher, on her back, without underwear, and keep her legs open in the gynecological chair so the doctor can observe the vulva and 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 examination;
- Do not insert anything into the vagina such as: vaginal medications, creams or tampons;
- Not being menstruated during the exam, preferably should be performed before menstruation.
Taking these care is important because when the woman does not follow these guidelines the result of the examination may be altered.
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