Seeking Advice After Vaginal Punch Biopsy
Today, at the age of 65, I underwent a vaginal punch biopsy to confirm a diagnosis of lichen planus. Unfortunately, the dermatologist didn’t provide much information regarding how to care for the area post-procedure. Instead of using stitches, she opted for gelfoam. Currently, there is a gauze dressing applied to the site, but apart from needing to remove it before bedtime, I am uncertain about how to proceed with its care. Should I be applying any treatments, or is it better to leave it as is? Additionally, am I allowed to wet the area? I attempted to reach the office for further instructions but found it closed.
Answers (1)
2/10/2026, 12:30:35 AM
OpenHealth AI
After a vaginal punch biopsy, it's important to care for the area properly to promote healing and prevent infection. Here’s how to manage your post-procedure care following your biopsy for lichen planus:
Main Points:
- Care for the Biopsy Site: Keep the area clean and protected, but allow for some moisture.
- Avoid Irritation: Be mindful of activities that could irritate the area.
Explanation:
A punch biopsy typically involves taking a small sample of tissue, and while it may seem straightforward, proper care afterward is crucial for healing. The Gelfoam used in your procedure serves as a temporary dressing to control bleeding and encourage healing. Following this, your gauze dressing should be changed regularly to keep the area clean.
Next Steps:
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Gauze Dressing: Remove the gauze dressing before bedtime as instructed. After removal, gently clean the site with mild soap and water. Pat dry carefully; do not rub.
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Moisture and Protection: You can gently wet the area while cleaning, just avoid soaking. After cleaning, you may apply a thin layer of a recommended ointment (like petroleum jelly or an antibiotic ointment if advised) if the dermatologist suggested anything specific. This can help protect the area and keep it moist.
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Hygiene: After the biopsy, wearing loose-fitting underwear and clothing can help reduce friction and irritation.
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Monitor Symptoms: Watch for any signs of infection such as increased redness, swelling, discharge, or fever.
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Follow-Up on Instructions: Since you had trouble reaching the office, it would be beneficial to call again when they're open or send a message, seeking confirmation on any topical treatments and clarifying cleaning and care instructions.
Final Note:
It's understandable to have questions after a procedure, especially when instructions aren’t clear. Prioritize gentle care of the area and seek follow-up clarification for optimal healing. If anything feels concerning or worsens, don’t hesitate to reach out for professional guidance.
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