In this episode of Talking O&G, host Dr Anna Clare (obstetrician gynaecologist) is joined by guest, Dr Tania Day (gynaecologist specialising in vulvovaginal conditions). They discuss the diagnosis, management and ongoing treatment of vulval conditions, particularly lichen sclerosus, is a common yet often under recognised vulval condition that if left untreated can lead to poor outcomes for patients.
The conversation explores how vulval condition examination and history taking differs from a standard gynaecological review, approaches to investigations including wet mounts, swabs and PCRs, and why it’s important to consider other disorders of the vulva during your examinations. Dr Tania Day explains why biopsies are an important part of the diagnostic process, why it’s essential to keep your patient informed throughout an examination, and how to navigate management and treatment plans with your patient. The episode discusses how vulval disorders and cancers can be prevented when symptoms are treated early and why it is so important for patients to bring their vulval concerns to their gynaecologist.  
🔗 Resources mentioned in this episode:
ISSVD Practical Guide to Lichen Sclerosus 
O&G Magazine, The Vulva Issue (Winter 2025) 
Day & Sobel. Genital cutaneous candidiasis versus chronic recurrent candidiasis: distinct diseases, different populations. Clinical Microbiology Reviews (2025) 
 
📌 RANZCOG members can submit CPD at: https://shorturl.at/iq733 
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The views expressed are those of the speakers and may not reflect the official position of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG). 

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