Consultant-Led Vulval Disease Assessment in Central London
Vulval biopsy and dermatological assessment at LSDC Healthcare are delivered by consultant gynaecologists with specialist expertise in vulval disorders, working closely with dermatopathology services where required.
This service provides accurate diagnosis of persistent vulval symptoms, ensuring timely treatment, exclusion of malignancy, and long-term symptom control.
All care is delivered in a private, consultant-led setting in the City of London, with sensitivity, discretion, and continuity of care.
What is a Vulval Biopsy?
A vulval biopsy is a minor diagnostic procedure in which a small sample of vulval skin is taken under local anaesthetic for histopathological examination.
It is used to:
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Confirm inflammatory or autoimmune skin conditions
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Diagnose pre-malignant or malignant changes
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Differentiate between similar-appearing vulval disorders
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Guide appropriate long-term treatment
Biopsy allows definitive diagnosis where clinical appearance alone is insufficient.
Who is Vulval Biopsy & Assessment For?
This service is recommended for women with:
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Chronic vulval itching, pain, or burning
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Skin colour or texture changes
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Vulval splitting, scarring, or architectural changes
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Recurrent symptoms not responding to treatment
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Suspected lichen sclerosus, lichen planus, or VIN
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Unexplained vulval lesions or ulcers
Early assessment is essential to prevent progression and long-term complications.
Clinical Benefits and Indications
Clinical benefits include:
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Accurate diagnosis of vulval skin conditions
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Exclusion of vulval cancer or pre-cancer
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Targeted, condition-specific treatment
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Prevention of scarring and disease progression
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Improved long-term symptom control
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Reassurance where findings are benign
Key indications include:
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Persistent or unexplained vulval symptoms
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Failure of empirical treatment
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Diagnostic uncertainty
How LSDC Delivers This Differently
Vulval disease management at LSDC Healthcare is distinguished by:
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Consultant-led vulval examination and biopsy
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High clinical suspicion for early pre-malignant disease
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Close correlation between clinical findings and histology
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Expertise in long-term management of vulval dermatoses
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Clear education on skin care, surveillance, and treatment
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Discreet, unhurried appointments
Patients receive specialist vulval care, not trial-and-error treatment.
Diagnostics and Investigations Involved
Assessment may include:
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Detailed vulval and symptom history
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Targeted vulval examination
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Vulval punch biopsy under local anaesthetic
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Histopathological analysis by specialist pathologists
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Photography or mapping (where appropriate for monitoring)
All investigations are clinically justified and explained beforehand.
Recovery, Follow-Up and Ongoing Care
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The biopsy is performed as an outpatient procedure
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Mild soreness or spotting may occur for a few days
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Local wound care advice is provided
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Results are reviewed and explained by your consultant
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Long-term treatment and surveillance planned if required
Insurance and Self-Pay
Vulval biopsy and assessment are commonly covered by UK private medical insurers, including Bupa, AXA, Henner, Vitality and WPA, subject to policy terms and authorisation.
Self-pay patients receive transparent consultant-led pricing, discussed in advance.
LSDC Healthcare
A couple of minutes outside Liverpool St Station, this excellent facility is conveniently located for Medical consultations in London.
This facility is open during the evenings making it an excellent choice for busy professionals.
Book A Vulval Assessment Consultation
If you have persistent vulval symptoms or have been advised to undergo biopsy, our consultants provide expert diagnosis and compassionate specialist care in Central London.
FAQ — Vulval Biopsy & Dermatological Assessment
Why do I need a vulval biopsy?
A biopsy provides a definitive diagnosis when symptoms or skin changes cannot be reliably identified by examination alone.
Is a vulval biopsy painful?
The procedure is performed under local anaesthetic. Mild discomfort afterwards is common and short-lived.
What conditions can a biopsy diagnose?
Conditions include lichen sclerosus, lichen planus, VIN, inflammatory dermatoses, and vulval cancer.
How long do results take?
Histology results are usually available within 1–2 weeks and are reviewed with you by your consultant.
Will I need long-term follow-up?
Some vulval conditions require ongoing treatment and surveillance, which will be planned individually.
Is vulval biopsy covered by private insurance?
Yes. Vulval biopsy is commonly covered by UK private medical insurers, subject to policy terms.