Vulvar Intraepithelial Neoplasia (VIN) is a precancerous skin condition of the vulva that is becoming increasingly common in women age of 40 and over.  There are two pathways that lead to VIN and vulvar cancer: one related to HPV and another related to Lichen Sclerosus.  The risk of developing vulvar cancer with untreated or sub-optimally treated lichen sclerosus is 4-6%.  However, that risk decreases to baseline with adequate treatment.  VIN is usually identified by visual inspection and there is no screening test at this time.  Any suspicious areas are further evaluated with a vulvar biopsy, which is a minor in-office procedure. 


Treatment options include surgical excision, laser ablation, and topical medications.

Conditions we treat


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