Vulval examination

Before your test, the doctor or nurse will help you position yourself on a specially designed chair or examination table. There may be special leg supports.

The doctor may use a bright light and a magnifier to examine your vulva. This helps them see the skin more clearly. They may take small samples of tissue (biopsies) from any areas that look unusual. You may have a local anaesthetic for this.

The doctor will also check your vagina and cervix for any abnormalities. They will use a plastic or metal instrument called a speculum. This holds the vaginal walls open.

A liquid will be dabbed on to your cervix to help show any abnormal areas more clearly. You may also have a small sample of cells taken from the cervix. The doctor may also examine your back passage (anus).

The specialist can arrange to examine you while you are under a general anaesthetic if:

• you have narrowing of the vagina due to lichen sclerosus
• your vulva is too sore for a full examination.