Vulvar Biopsy

Vulvar Biopsy

A vulvar biopsy is a medical procedure in which a small sample of tissue is taken from the vulva, which is the external part of the female genitalia. The purpose of a vulvar biopsy is to obtain a tissue sample for further examination and analysis in order to diagnose or evaluate certain conditions or abnormalities.

Here are some key points about vulvar biopsy:

  • A healthcare provider may recommend a vulvar biopsy to investigate various conditions or concerns, including:
    • Vulvar Skin Disorders: Biopsy can help diagnose conditions such as lichen sclerosus, lichen planus, vulvar dermatitis, or psoriasis.
    • Pre-cancerous or Cancerous Lesions: Biopsy can determine if there are any abnormal or precancerous cells in the vulvar tissue, such as vulvar intraepithelial neoplasia (VIN) or vulvar cancer.
    • Suspicious Growths or Ulcers: A biopsy may be performed if there are unexplained growths, ulcers, or other abnormalities on the vulva that require further evaluation.
    • Chronic or Recurrent Infections: Biopsy can help identify the cause of persistent or recurrent infections in the vulvar area.
  • There are different methods for performing a vulvar biopsy, depending on the specific situation and the suspected condition. The most common methods include:
    • Punch Biopsy: A small cylindrical tool is used to remove a sample of tissue from the vulva. The area is usually numbed with a local anesthetic before the biopsy is performed.
    • Excisional Biopsy: This involves removing a larger piece of tissue from the vulva, often for the purpose of removing an entire lesion or growth. It may be done under local or general anesthesia.
  • During a vulvar biopsy, the healthcare provider will clean the area and apply a local anesthetic to minimize discomfort. They will then perform the biopsy by taking a small sample of tissue using a biopsy tool. The tissue sample is then sent to a laboratory for further examination.
  • After a vulvar biopsy, the area may be slightly sore or tender, and there may be some mild bleeding. The healthcare provider will provide instructions on wound care and any necessary follow-up appointments. The results of the biopsy will typically be available within a few days to a couple of weeks, depending on the laboratory and the specific tests being performed.
  • Complications from a vulvar biopsy are rare but can include bleeding, infection, scarring, or discomfort in the biopsy area. It’s important to follow post-biopsy instructions provided by the healthcare provider to minimize the risk of complications.