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How Long Does a Vulvar Biopsy Take to Heal?

Healing usually generally occurs in five to seven daysHealing usually generally occurs in five to seven days

Healing duration:

  • After a vulvar biopsy, healing usually generally occurs in five to seven days, but it may take longer depending on the depth of deficit.
  • Time taken for healing of the area depends on the care taken after the procedure, size of the incision, location of biopsy, and type of biopsy.

What to expect after a vulvar biopsy?

What to expect:

  • After a vulvar biopsy, you may experience some mild itching or swelling because the area heals over the next one to two weeks.
  • Soreness and discomfort at the biopsy site can be managed by painkillers such as paracetamol, ibuprofen, or cold compresses.
  • If you have stitches, it will be removed after 5-10 days.
  • If you have an absorbable type of stitches, it will take two to three weeks to dissolve or fall off.
  • If you have bleeding occasionally, apply direct pressure over the biopsy site with a piece of cotton wool or towel for 15 minutes while resting lying down.

When to see a doctor?

See your doctor or contact emergency care if you have

  • Bleeding that does not stop even by direct pressure.
  • Severe pain, swelling, and redness that is spreading.
  • Malodorous discharge from the biopsy wound or a fever.
  • More discomfort, and the site feels hot or starts oozing.

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    When does your doctor suggest a vulvar biopsy?

    Your gynecologist may suggest a vulvar biopsy when

    • Cancerous growth is suspected.
    • An immune system disorder causing blisters is suspected.
    • Lesions have atypical color, texture, or vascular patterns.
    • Your disease does not resolve with standard treatment.
    • Results have implications for the diagnosis and management of systemic illnesses such as
    • Removal of a lesion is requested for functional or for better appearance.

    Typical vulval conditions that may require a biopsy include:

    • Lichen sclerosis (thin, white patches of the skin, usually in the genital area)
    • Lichen planus (swelling and irritation of the skin and mucous membranes)
    • Abnormal growth of squamous cells on the cervix surface
    • Squamous cell carcinoma (cancer of flat, thin cells of the vulva)
    • Melanoma (dangerous, spreading cancer)

    What are the possible complications?

    Complications include:

    • Pain
    • Swelling
    • Redness
    • Infection
    • Bleeding
    • Hematoma (bleeding beneath the skin)
    • Bruising 
    • Scarring 
    • Discoloration of the area
    • Darkening of the area
    • Skin allergies to topical antiseptic, anesthetic, suture material, or dressings
    • Persistence or recurrence of vulvar lesions
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