Vulvar Biopsy

What is a Vulvar Biopsy?

A vulvar biopsy is a simple procedure performed to take a small tissue sample from the vulva, the external female genital area. This tissue sample is then examined under a microscope by a pathologist to help diagnose various conditions affecting the vulva. It's a crucial tool for identifying the cause of symptoms like itching, pain, unusual growths, or changes in skin color on the vulva.

Why a Vulvar Biopsy Might Be Recommended

Your healthcare provider at John Labban, M.D., PC may recommend a vulvar biopsy if you are experiencing certain persistent symptoms or if they observe any concerning changes during an examination. These indications can include ongoing itching, burning sensations, or unexplained soreness in the vulvar area. Visible changes such as the appearance of white or red patches, areas of thickened skin, or the development of lumps may also warrant a biopsy. Additionally, if you have suspicious moles or pigmented lesions on the vulva, or if your symptoms have not improved with previous treatments, a biopsy may be necessary to determine the underlying cause. It can also be used to further investigate any abnormalities detected during a routine pelvic examination.

What Happens During the Procedure?

A vulvar biopsy is usually a quick, in-office procedure. Here's what you can typically expect:  

Positioning: You will lie on an examination table, similar to a pelvic exam, with your feet in stirrups.  

Examination: Your doctor will carefully examine the area of concern on your vulva.

Numbing: The area from where the tissue sample will be taken will be numbed with a local anesthetic injection. This will help minimize any discomfort during the biopsy.  

Tissue Sampling: The technique used is called Punch Biopsy where a small, circular instrument is used to remove a cylindrical piece of tissue.

Stopping Bleeding: After the tissue sample is taken, silver nitrate is used to stop any bleeding.

Will There Be Discomfort?

While the prospect of a biopsy might seem concerning, we take every measure to ensure your comfort. You can expect to feel a brief stinging sensation when the local anesthetic is administered. However, once the area is numb, you should experience no pain during the actual biopsy. You might perceive some pressure or a mild pulling sensation as the tissue sample is being taken. Our priority is to make the procedure as comfortable as possible for you.

Post-Biopsy Care and Next Steps

Following your vulvar biopsy, you will receive detailed instructions on how to care for the biopsy site to promote healing and prevent infection. This will likely include keeping the area clean and dry, as well as, avoiding any activities that might irritate the site, such as rubbing or scratching. It is common to experience mild soreness, or slight bleeding at the biopsy site for a few days after the procedure. Over-the-counter pain relievers can typically help manage any discomfort. We also advise wearing loose-fitting clothing to avoid any unnecessary pressure on the area. The collected tissue sample will be sent to a specialized laboratory for analysis. Once the results are available, which usually takes about one week, your doctor will schedule a follow-up appointment to discuss the findings with you in detail and explain any necessary next steps or treatment options.