Vulvitis

• Cervical cell abnormality INVESTIGATION

A complete history should be taken, along with a sexual health screen and examination. If indicated, a cervical smear should be performed.

MANAGEMENT

Investigate for infection. Examination to reveal masses or lesions. Consider cytology: past results/need to repeat cytology. Any abnormalities should be referred on for specialist review, as should recurring symptoms without obvious pathology. Every case of intermenstrual bleeding at any age should have a diagnosis established before treatment is given, otherwise an occasional carcinoma may be missed, sometimes with fatal results.

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