How to do a Vulvar Exam: A Trauma-Informed Approach

  • Jessica Yih MD, Muhammed A M Hammad, MBBCh, MSc
  • VJSM 2024 1: 086
  • 04:59
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Abstract

Authors

Jessica Yih MD, Muhammed A M Hammad, MBBCh, MSc

Key Words

Bartholin cyst, Bartholin duct, marsupialization, Word catheter

Description

This video presents a comprehensive, step-by-step guide to performing a vulvar examination, with a focus on clinical precision and patient-centered care. It demonstrates key techniques for evaluating vulvar anatomy and employing appropriate diagnostic tools. Additionally, the video highlights best practices for obtaining informed consent, ensuring effective communication, and addressing patient concerns related to privacy and anxiety. By illustrating a real-world clinical scenario, this video serves as a valuable educational resource for healthcare professionals in urology, gynecology, and women's health. It is particularly designed for practitioners aiming to conduct sensitive and thorough vulvar examinations using a trauma-oriented approach that prioritizes patient comfort, respect, and comprehensive care, thereby promoting optimal clinical outcomes.

Acknowledgements

None.

Disclosures

The authors have nothing to disclose

References

1- Sacher, B. (2015). The Normal Vulva, Vulvar Examination, and Evaluation Tools. Clinical Obstetrics and Gynecology, 58, 442-452. 

2- Burrows LJ, Shaw HA, Goldstein AT. The vulvar dermatoses. J Sex Med. 2008 Feb;5(2):276-83. doi: 10.1111/j.1743-6109.2007.00703.x. Epub 2008 Jan 2. PMID: 18179462. 

3- Preti M, Selk A, Stockdale C, Bevilacqua F, Vieira-Baptista P, Borella F, Gallio N, Cosma S, Melo C, Micheletti L, Benedetto C. Knowledge of Vulvar Anatomy and Self-examination in a Sample of Italian Women. J Low Genit Tract Dis. 2021 Apr 1;25(2):166-171. doi: 10.1097/LGT.0000000000000585. PMID: 33470738. 

4- Khadraoui H, Thappa S, Smith M, Davidov A, Castellanos MR. Age-associated trends of vulvar cancer in the US. Menopause. 2020 Oct 26;28(2):119-125. doi: 10.1097/GME.0000000000001687. PMID: 33109996 

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