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


Our FAQ page is a wonderful resource for patients, both new and established! Check it out now!

If you are interested in scheduling an appointment, please state which location you are interested in: NY or DC.

We do our best to return your query as soon as possible, but please be allow up to 48 business hours (excluding weekends AND holidays) for your query or call to be returned. Of note: it is rare that we are able to accommodate same-day appointments and we are currently scheduling into October for new patients.


**Please note that our Practice Manager, Hillary, schedules all new patients, follow-ups, telemedicine visits, and surgeries. She will be out of the office from 7/26-7/30 and will return on 8/2/21. It is recommended that you send your inquiries or call her on 8/2/21. No appointment requests will be addressed or made until 8/2/21.**

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