Vulval Disorders
Not every itch is thrush.
Vulval itching, irritation, pain or skin changes can have several possible causes. If symptoms keep returning, do not improve with treatment or simply do not feel right, a careful assessment can help determine what needs attention.
Symptoms are often treated before they are understood
It is common to try an over-the-counter thrush treatment first. When symptoms return, women may repeat the same treatment, change products or put off an appointment because the concern feels too personal to discuss.
Thrush is one possible cause, but vulval symptoms may also be related to irritation, an allergy, hormonal change, infection, a skin condition, pelvic floor tension or persistent pain. Treatment depends on the cause.
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Your vulval health appointment
You can begin with the symptom, even if it is difficult to describe.
You may wish to discuss:
- 01
itching, burning or stinging
- 02
redness, swelling or soreness
- 03
skin that is cracked, split, pale, thickened or otherwise changed
- 04
recurring symptoms thought to be thrush
- 05
unusual discharge or odour
- 06
pain with touch, clothing, exercise or sitting
- 07
pain during or after sex
- 08
lumps, sores or lesions
- 09
dryness or discomfort around perimenopause or menopause
Your doctor may ask when the symptoms began, whether they come and go, what products or treatments you have tried, and whether you have related vaginal, urinary, sexual health or skin symptoms.
An examination may be discussed because looking at the affected skin can be important in understanding the cause. You can ask questions, request a support person, understand what the examination involves and provide or withhold consent.
Depending on your circumstances, the next step may include a swab, treatment, skin care advice, review over time or referral to another health professional. If available, bring a list of products and medicines you have already tried.
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Vulval and vaginal symptoms are not the same
The vulva is the external genital area. The vagina is inside the body. Symptoms can affect one or both areas, but the possible causes and treatment may differ.
You do not need to identify exactly where the symptom is coming from before your appointment. Describing what you feel and where you notice it is enough to begin.
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Care based on the cause, not an assumption
Management may involve removing a source of irritation, treating an infection or skin condition, supporting tissue affected by hormonal change, addressing pain or arranging further assessment.
Some vulval conditions need ongoing review. Your doctor will explain the findings, treatment options and whether follow-up or referral is appropriate.
Related care
Related care at Mahila
Sexual HealthConfidential care for STI screening, sexual wellbeing and concerns affecting comfort or sexual function.Read more
Pelvic PainCare for persistent, recurring or unexplained pain affecting the pelvis, lower abdomen or daily life.Read more
PerimenopauseAssessment and support for changes in periods, sleep, mood, temperature, concentration, energy and more.Read more
MenopauseEvidence-based care, including discussion of hormonal and non-hormonal treatment options where appropriate.Read more
EndometriosisOngoing care for suspected or diagnosed endometriosis, from investigation and symptom management to coordinated support.Read more
Appointment length
Choose the appointment type that matches where you are in your care. Exact fees follow the medical consultation fee schedule unless a service page states a different confirmed fee.
New patients
45-minute consultation
Returning patients (follow-up)
Up to 20 minutes. If the consultation runs longer, an additional fee may be charged.
Medical consultation fees are listed below. Confirm appointment and fee details with reception when booking.
Medical consultation fees
Mahila Women's Clinic is a private billing practice. The following medical consultation fees apply unless a service page states a different confirmed fee.
A Medicare rebate may apply to an eligible medical consultation. The item billed depends on the service provided, the actual consultation time, the clinician and Medicare requirements.
Procedures, pathology, imaging, products, equipment and other services may involve additional costs. Relevant additional fees should be shown on the individual service page or discussed before the service is provided.
| Consultation length | Clinic fee |
|---|---|
| Less than 20 minutes | $150 |
| Up to 30 minutes | $280 |
| Up to 45 minutes | $380 |
| 60 minutes or longer | $450 |
Talk with a doctor about your concerns.
Book an appointment at Mahila Women's Clinic in Camberwell.