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Pre‐biopsy

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A clear drug history specifically asking about anticoagulants must be taken before the biopsy. Some patients may take low‐dose aspirin that is not prescribed, so this needs to be checked. Genetic clotting problems and allergies, especially to local anaesthetic, must be detailed.

The procedure is explained and written informed consent obtained. The small risk of bleeding and infection should be explained. All equipment should be prepared and readily available before the procedure starts.

Ridley's The Vulva

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