14/11/2025
Women aren’t having their v***a’s looked at and it concerns me.
Yesterday I went to molemap and I asked the nurse do you map women’s v***a’s. I knew the answer already but I asked it again this year because I wanted to affirm a gap. There is a gap in the mapping.
No she said. We don’t, well they might if a patient said but no we don’t.
So I said who is looking at v***a’s then? They aren’t routinely looking at them in General Practice because HPV screening is done with a stick by the patient in the loo.
Even with the old way of doing cervical screening so much focus was on finding the cervix were v***a’s truly being looked at then or questions asked about how the Genitourinary syndrome of Menopause may be affecting the patient? No because it’s all a rush (I know, I’ve worked in it, there’s a chapter in “Lady Talk” the book on it).
V***a skin assessment is a speciality on it’s own and the more I learn about it the more I want to offer a service. For me this would see me advance my practice as a nurse prescriber.
It’s not all about Ovestin and moisture balms for midlife women. As I’ve said in recent posts there are other skin conditions that need different treatment to this.
At the Lady Talk Clinic on Tuesday’s and Wednesdays I’m there looking at V***a’s. Patients also call me with their v***al skin concerns. I see patients on zoom nationwide and offer a pelvic health assessment that’s virtual and it’s surprisingly easy and of course I over deliver to get things sorted.
This week someone said “I’d rather see you than my own GP” - I said you still need to see your own GP and relayed the reasons why.
I always say keep an eye on your v***a, take a look at it yourself. There are barriers around that though like….
“But Lynda what am I looking for.”
“I can’t see it, my vision isn’t good.”
“I can’t bend around there.”
“God I had a look and I hadn’t seen it for a while and I was quite shocked at how it looked.”
Although I’m primarily looking to treat:
👩⚕️Sexual Pain
👩⚕️Incontinence
👩⚕️Prolapse Symptoms
I start at the skin everytime. Because women value a through unhurried service, where the nurse asks all about s*x, or**sm, v***al skin changes, childbirth, pregnancy, everything….no stone unturned.
The Lady Talk clinic…..where we not only talk about everything but we aim to RESOLVE the problem.
I also work with a team of other health professionals who talk to each other.
Get in touch here:
https://lyndalovattladytalk.co.nz/menopause-pelvic-health
Lynda Lovatt
DipN RNZcmpN
•Menopause/Pelvic Health Nurse
•Registered Personal Trainer
•Lifestyle Medicine Practitioner
•Author
•Speaker
Www.lyndalovattladytalk.co.nz