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W457 THE PREVALENCE AND SEVERITY OF PREMENSTRUAL SYNDROME IN STUDENTS OF ISLAMIC AZAD UNIVERSITY OF MARAND
Poster presentations / International Journal of Gynecology & Obstetrics 119S3 (2012) S531–S867
roughly one third had taken the decision during the first and second trimester, and for the others during the third trimester. Almost all midwives recognized an increased trend in the number of C-sections being performed at their maternity house. According to them, fear of pain during a ‘normal’ vaginal delivery is the main reason why the CS rate has increased. To some midwives unnecessary C-sections could be avoided when improving pain control and pain management during labor. Conclusions: The reasons for the high and increasing rate of C-sections in Georgia are multiple. It would require more in-depth studies and/or different types of study, such as medical audits on management of pregnancy and delivery. W454 A COMPARISON OF ADEQUACY OF CERVICAL CYTOLOGY SAMPLING WITH CERVIX BRUSH AND MODIFIED AYRE SPATULA M. Khayamzadeh1 , R. Salmanian1 . 1 Cancer Research center, Tehran, Iran, Islamic Republic of Objectives: Pap smear test is an easy and low cost screening method for prevention of cervical cancer. Attempts to improve the quality of this test have an important role in early diagnosis and treatment of the disease. The purpose of this study is determination of differences between cervix brush and modified Ayre spatula in terms of cervical smear adequacy. Materials and Methods: In a two-group randomized trial, two hundred forty women undergoing cervical smear at the gynecology clinic of Air Force Hospital were randomly assigned to two groups of cervix brush and modified Ayre spatula, each with 120 cases. The cytopathologist was blind to the cervical smear collection device. Bethesda system guideline was used and smears were considered either satisfactory or unsatisfactory accordingly. Results: The findings showed no significant difference between capability of cervix brush and modified Ayre spatula to produce satisfactory and unsatisfactory smears (p = 0.497). Conclusions: Both methods are recommended to be used in health centers with emphasis on training medical personnel to take pap smears with special care. Comparison of the two mentioned devices regarding the detection of precancerous lesions in high risk women is recommended for further studies. W455 THE PREVALENCE OF INDUCED ABORTION, RELATED FACTOR AND OUTCOMES IN WOMEN REFERRED TO HEALTH CENTRALS OF MARAND (IRAN) R. Kazempour1 , T. Fadaei Haggi2 . 1 Department of Midwifery, Marand Branch, Islamic Azad University, Marand, East Azarbayjam, Iran, Islamic Republic of ; 2 Education Office, Marand, East Azarbayjam, Iran, Islamic Republic of Objectives: Unsafe abortion continues to be a major public health problem in many countries. A woman dies every eighth minute somewhere in a developing country due to Complications arising from unsafe abortion. Nearly 20 million unsafe abortions took place that year, 98% of them in developing countries with restrictive abortion laws. In Iran, as in some other developing countries intentional abortion, except for some special cases, is illegal because of social and religious beliefs. This study assesses the prevalence of and related factors associated and outcomes with induced abortion among 772 fertile women aged 15–49 in Iran. Materials: In this retrospective study, 772 participants were interviewed. Methods: Sampling continued until they reach an acceptable level of statistical. Participants were women who referred to health centers for various reasons (family planning, growth monitoring...). The data gathering tool was the questionnaires were completed through interviews. Data were analyzed with SPSS software. Results: 24.6 per cent of women stated that they had an unwanted pregnancy; 52% of them had attempted abortion.
S853
In this study, the prevalence of induced abortion was 11.92%. The abortion had been induced by an unskilled provider up 80% of women. Curettage and prostaglandin injection had commonly been used for abortion. 25% of women who had induced abortions had suffered from complications after abortion. 59.3% of women did not receive post abortion care. In this study, the most cause of induced abortion was appropriate number of children. The results show that 63.76% had used a contraceptive method in the event of unwanted pregnancy. The most cases of unwanted pregnancy were using the withdrawal method (21%). Only 40.5% of those women who have had a gynecological exam in the past 12 months had discussed EC with their provider. Conclusions: Abortion is a frequent consequence of unintended pregnancy and, in the developing world, can result in serious, long-term negative health effects including infertility and maternal death. Recommended a comprehensive program of sex education and family planning and quality improvement programs and a review of abortion laws. W456 REPRODUCTIVE HEALTH KNOWLEDGE AMONG PRE MARRIAGE GIRLS: A CROSS-SECTIONAL STUDY IN SHIRAZ, SOUTHWEST OF IRAN M. Zarshenas1 , R. Janghorban2 , S. Zeinalizadeh1 . 1 Midwifery, School of Nursing and Midwifery, Shiraz, Iran, Islamic Republic of ; 2 School of Nursing and Midwifery, Mashhad, Iran, Islamic Republic of Objectives: Reproductive health is a crucial part of general health and a central feature of human development. It is a reflection of health during childhood and crucial during adolescence and adulthood, sets and stage for health beyond the reproductive years for both women and men, and affects the health of the next generation. Hence the present study was undertaken to assess reproductive health knowledge among pre marriage girls of age 15 to 35 years. Materials: A cross-sectional study was conducted in pre-marriage counseling centers of Shiraz from September to December 2010. Methods: A questionnaire was utilized to collect data from the sampled population. 749 girls aged between 15 to 35 years old before participating on marriage counseling classes were interviewed about their knowledge regarding reproductive age of women, menstrual period, conceivable age of men, male-female relationship & family planning. The data were entered in SPSS for windows version 15 and analyzed. Results: The data collected show a concerning low familiarity of the samples with possibility of girl pregnancy before menarche, in first sexual contact, in withdrawal method & highlight the fact that the girls, knowledge before marriage about some sexual contact issues are low. The role of health professionals & families as the source of information for the girls seems to be weak. Conclusions: Therefore, with increasing marriage age & possibility of sexual contact before marriage, particular attention is required to design more programs and interventions aimed particularly at these high risk groups. W457 THE PREVALENCE AND SEVERITY OF PREMENSTRUAL SYNDROME IN STUDENTS OF ISLAMIC AZAD UNIVERSITY OF MARAND R. Kazempour1 , T. Fadaei Haggi2 . 1 Department of Midwifery, Marand Branch, Islamic Azad University, Marand, East Azarbayjam, Iran, Islamic Republic of ; 2 Education Office, Marand, East Azarbayjam, Iran, Islamic Republic of Objectives: Premenstrual syndrome (PMS) is a combination of psychological, physical and behavioral symptoms which is seen in the late luteal phase of menstrual cycle in women at the reproductive age, disappears within several days upon the start of the menstruation and repeats in many cycles and affects the daily life, job especially in the patients suffering from sever PMS. The
S854
Poster presentations / International Journal of Gynecology & Obstetrics 119S3 (2012) S531–S867
purpose of this research is to analyze the prevalence and severity of Premenstrual Syndrome (PMS) in college students, the factors affecting Premenstrual Syndrome. Materials: The cross-sectional research was performed on 320 students who study at Azad University of Marand and accepted to take part in the research. Methods: The data of the research was compiled by using “Questionnaire Form”, “PMS Rating Scale” developed by the researcher. In the analysis of the data; Percentage distribution, Chi-square test were used. The menstrual cycle was categorized in four different timing groups: the week before mense, mense, and the week after mense and mid-cycle. It is noted that for each symptom was set for 6 different degrees from no symptom to very mild, mild, moderate, severe and very severe. Symptoms rating were 0–5. Results: PMS was detected in 99.4% of the students. The most frequent symptoms are mainly low back pain, stress-discomfort, nervous-anger, and distention and breast tenderness. The severity of premenstrual syndrome was found severe in 1.3%, 5.6% moderate and 92.5% mild and very mild. PMS was found significantly high in those student who have severe menstrual irregularity, heavy bleeding, depression and use of oral contraceptive pill (p < 0.05). When the relation of PMS with time of cycle was evaluated, it was determined that was the most severe signs In the weeks before and during menstrual periods (p < 0.05). Conclusions: Almost all students experience some degree of PMS and this adversely affects the life quality. Proper assessment of premenstrual syndrome symptoms using accepted definitions and diagnostic criteria will allow improvement to select a therapeutic approach to get relief from their symptoms. It was revealed that the preventive, instructive and consultancy roles of the medical staff became more of an issue in reducing the effect of the factors causing and/or aggravating these symptoms in order to decrease PMS prevalence and to improve the life quality of the students. W458 Withdrawn W459 EFFECTIVE FACTORS ON PERFORMING BREAST AND CERVIX CANCER SCREENING TEST BY IRANIAN WORKERS: A QUALITATIVE-MODEL BASED STUDY
designing specific trainings in workplaces for women worker to increase awareness and positive attitudes; and training for families and employers to facilitating women’s access to health centers in industrial sectors; we can move toward a healthy society. W460 COMPARISON OF HEALTH-CARE PROVIDERS AND PRIMIGRAVIDA WOMEN’S ATTITUDE OF SANANDAJ ABOUT MODE OF DELIVERY, 2008–2009 F. Zaheri1 , L. Hasheminasab1 , S. Nazarian1 . 1 Nurse and Midwifery Faculty of Sanandaj of Medical Sciences of Kurdistan of Iran, Sanandaj, Kurdistan, Iran, Islamic Republic of Objectives: Pregnancy and delivery is special event in women’s and theirs family life. Absent or low knowledge and negative attitude about vaginal delivery has been resulted in increasing cesarean. Then cesarean complication has been lead to unpleasant of motherhood experience. The aim of this research was comparison of health-care providers and primigravida women of Sanandaj to mode of delivery. Materials: This descriptive study was done with 637 primigravia women and 154 health-care providers of Sanadaj (the capital city of Kurdistan province in west of Iran) health centers and delivery, postpartum and elcetive wards of educational Beasat’s hospital in 2008–2009. Methods: Data collection tool was a questionnaire including demographic characteristics and attitude (17 question Likert with five options), respectively. Then, after data collection, were analyzed with spss19. Results: In this research, there was significant statistic difference between positive attitude of health-care providers (33.1%) and primigarvida (10%) to vaginal delivery, respectively (P = 0.001). Also, we did not find significant statistic difference between positive attitude of care (43.8%) and health providers to vaginal delivery (p = 0.143). Conclusions: Low acknowledge about delivery methods, delivery mechanism and lack psychological support during childbirth and some other factors, lead to women’s tend to cesarean section. Training classes about vaginal delivery can increase pregnant, s women acknowledge about it. W461 THE FIRST VULVAR CLINIC IN INDIA – REVIEW OF INTERESTING CASES REQUIRING SURGERY
Z. Keshavarz1 . 1 Reproductive health, Assistant professor, Department of reproductive health, Faculty of Nursing and Midwifery, Shahid Beheshti Medical Science University, Tehran, Iran, Tehran, Iran, Islamic Republic of
A.B. Gandhi1 , N. Madnani2 , M. Lala2 . 1 Hinduja Hospital – Gynecology, Mumbai, Maharashtra, India; 2 Hinduja Hospital – Dermatology, Mumbai, Maharashtra, India
Objectives: Breast and cervical cancers impose large costs on society. Performing breast and cervical cancer screening tests (BCCST) are considered as a health promotion behavior. Materials and Methods: This was a qualitative study based on the “Integrated model of planned behavior and self-efficacy (PBSEIM)” to understand the effective factors on the BCCST behavior. A total of seventy female workers aged between 20–45 years from a Tehran’s suburb factories were recruited by purposeful sampling method to participate in ten focus group discussion. Data was analyzed using the conventional content analysis method. Results: Majority of female workers had appropriate attitude toward BCCST. Majority of participants mentioned to the importance of family’s especially husband’s encouragement. Effective factors such as low knowledge, depression, fatigue, shyness and fear from examination, fear from diagnosis of cancer, poor quality of services and financial barriers was mentioned. Majority mentioned to their low self efficacy for planning to perform the behavior. Also they have no intention to do it in the next three months. Conclusions: So interventions are necessary to overcome the effective barriers and improve women’s health. Therfore, By
Objectives: Problems around the vulvar region can lead to severe discomfort and embarrassment. In India, women generally suffer in silence, ignore the problem until it gets very severe. We started our ‘Vulvar Clinic’ at Hinduja hospital in Mumbai about 7 years back, which is the first of its kind in India. This is a joint venture of the department of Dermatology and the Department of Gynecology. Materials: A vulvar clinic is a speciality clinic run by experts to manage skin problems on and around the genital area of women. Though most of the cases need specialized medical treatment, few require surgical management. We have carried out more than 60 surgeries for different types of vulvar lesions including extensive & complicated surgeries requiring multispeciality approach. I intend to present the synopsis of 9 interesting vulvar cases requiring different types of surgeries with the help of photographs. Methods: Following 9 cases will be presented in a concised manner. (1) Vulvar abscess in a 5 year old girl – I&D done. (2) 14 year old girl with primary amenorrhoea with clitoromegaly and Gonadal Dysgenesis – Bilateral laparoscopic gonadectomy with clitoroplasty carried out. (3) Vulvar warts in a pregnant woman leading to severe itching requiring excision. (4) Excision of a big Bartholin cyst. (5) Ulcer in lower one third of right labia majora – Excision
roughly one third had taken the decision during the first and second trimester, and for the others during the third trimester. Almost all midwives recognized an increased trend in the number of C-sections being performed at their maternity house. According to them, fear of pain during a ‘normal’ vaginal delivery is the main reason why the CS rate has increased. To some midwives unnecessary C-sections could be avoided when improving pain control and pain management during labor. Conclusions: The reasons for the high and increasing rate of C-sections in Georgia are multiple. It would require more in-depth studies and/or different types of study, such as medical audits on management of pregnancy and delivery. W454 A COMPARISON OF ADEQUACY OF CERVICAL CYTOLOGY SAMPLING WITH CERVIX BRUSH AND MODIFIED AYRE SPATULA M. Khayamzadeh1 , R. Salmanian1 . 1 Cancer Research center, Tehran, Iran, Islamic Republic of Objectives: Pap smear test is an easy and low cost screening method for prevention of cervical cancer. Attempts to improve the quality of this test have an important role in early diagnosis and treatment of the disease. The purpose of this study is determination of differences between cervix brush and modified Ayre spatula in terms of cervical smear adequacy. Materials and Methods: In a two-group randomized trial, two hundred forty women undergoing cervical smear at the gynecology clinic of Air Force Hospital were randomly assigned to two groups of cervix brush and modified Ayre spatula, each with 120 cases. The cytopathologist was blind to the cervical smear collection device. Bethesda system guideline was used and smears were considered either satisfactory or unsatisfactory accordingly. Results: The findings showed no significant difference between capability of cervix brush and modified Ayre spatula to produce satisfactory and unsatisfactory smears (p = 0.497). Conclusions: Both methods are recommended to be used in health centers with emphasis on training medical personnel to take pap smears with special care. Comparison of the two mentioned devices regarding the detection of precancerous lesions in high risk women is recommended for further studies. W455 THE PREVALENCE OF INDUCED ABORTION, RELATED FACTOR AND OUTCOMES IN WOMEN REFERRED TO HEALTH CENTRALS OF MARAND (IRAN) R. Kazempour1 , T. Fadaei Haggi2 . 1 Department of Midwifery, Marand Branch, Islamic Azad University, Marand, East Azarbayjam, Iran, Islamic Republic of ; 2 Education Office, Marand, East Azarbayjam, Iran, Islamic Republic of Objectives: Unsafe abortion continues to be a major public health problem in many countries. A woman dies every eighth minute somewhere in a developing country due to Complications arising from unsafe abortion. Nearly 20 million unsafe abortions took place that year, 98% of them in developing countries with restrictive abortion laws. In Iran, as in some other developing countries intentional abortion, except for some special cases, is illegal because of social and religious beliefs. This study assesses the prevalence of and related factors associated and outcomes with induced abortion among 772 fertile women aged 15–49 in Iran. Materials: In this retrospective study, 772 participants were interviewed. Methods: Sampling continued until they reach an acceptable level of statistical. Participants were women who referred to health centers for various reasons (family planning, growth monitoring...). The data gathering tool was the questionnaires were completed through interviews. Data were analyzed with SPSS software. Results: 24.6 per cent of women stated that they had an unwanted pregnancy; 52% of them had attempted abortion.
S853
In this study, the prevalence of induced abortion was 11.92%. The abortion had been induced by an unskilled provider up 80% of women. Curettage and prostaglandin injection had commonly been used for abortion. 25% of women who had induced abortions had suffered from complications after abortion. 59.3% of women did not receive post abortion care. In this study, the most cause of induced abortion was appropriate number of children. The results show that 63.76% had used a contraceptive method in the event of unwanted pregnancy. The most cases of unwanted pregnancy were using the withdrawal method (21%). Only 40.5% of those women who have had a gynecological exam in the past 12 months had discussed EC with their provider. Conclusions: Abortion is a frequent consequence of unintended pregnancy and, in the developing world, can result in serious, long-term negative health effects including infertility and maternal death. Recommended a comprehensive program of sex education and family planning and quality improvement programs and a review of abortion laws. W456 REPRODUCTIVE HEALTH KNOWLEDGE AMONG PRE MARRIAGE GIRLS: A CROSS-SECTIONAL STUDY IN SHIRAZ, SOUTHWEST OF IRAN M. Zarshenas1 , R. Janghorban2 , S. Zeinalizadeh1 . 1 Midwifery, School of Nursing and Midwifery, Shiraz, Iran, Islamic Republic of ; 2 School of Nursing and Midwifery, Mashhad, Iran, Islamic Republic of Objectives: Reproductive health is a crucial part of general health and a central feature of human development. It is a reflection of health during childhood and crucial during adolescence and adulthood, sets and stage for health beyond the reproductive years for both women and men, and affects the health of the next generation. Hence the present study was undertaken to assess reproductive health knowledge among pre marriage girls of age 15 to 35 years. Materials: A cross-sectional study was conducted in pre-marriage counseling centers of Shiraz from September to December 2010. Methods: A questionnaire was utilized to collect data from the sampled population. 749 girls aged between 15 to 35 years old before participating on marriage counseling classes were interviewed about their knowledge regarding reproductive age of women, menstrual period, conceivable age of men, male-female relationship & family planning. The data were entered in SPSS for windows version 15 and analyzed. Results: The data collected show a concerning low familiarity of the samples with possibility of girl pregnancy before menarche, in first sexual contact, in withdrawal method & highlight the fact that the girls, knowledge before marriage about some sexual contact issues are low. The role of health professionals & families as the source of information for the girls seems to be weak. Conclusions: Therefore, with increasing marriage age & possibility of sexual contact before marriage, particular attention is required to design more programs and interventions aimed particularly at these high risk groups. W457 THE PREVALENCE AND SEVERITY OF PREMENSTRUAL SYNDROME IN STUDENTS OF ISLAMIC AZAD UNIVERSITY OF MARAND R. Kazempour1 , T. Fadaei Haggi2 . 1 Department of Midwifery, Marand Branch, Islamic Azad University, Marand, East Azarbayjam, Iran, Islamic Republic of ; 2 Education Office, Marand, East Azarbayjam, Iran, Islamic Republic of Objectives: Premenstrual syndrome (PMS) is a combination of psychological, physical and behavioral symptoms which is seen in the late luteal phase of menstrual cycle in women at the reproductive age, disappears within several days upon the start of the menstruation and repeats in many cycles and affects the daily life, job especially in the patients suffering from sever PMS. The
S854
Poster presentations / International Journal of Gynecology & Obstetrics 119S3 (2012) S531–S867
purpose of this research is to analyze the prevalence and severity of Premenstrual Syndrome (PMS) in college students, the factors affecting Premenstrual Syndrome. Materials: The cross-sectional research was performed on 320 students who study at Azad University of Marand and accepted to take part in the research. Methods: The data of the research was compiled by using “Questionnaire Form”, “PMS Rating Scale” developed by the researcher. In the analysis of the data; Percentage distribution, Chi-square test were used. The menstrual cycle was categorized in four different timing groups: the week before mense, mense, and the week after mense and mid-cycle. It is noted that for each symptom was set for 6 different degrees from no symptom to very mild, mild, moderate, severe and very severe. Symptoms rating were 0–5. Results: PMS was detected in 99.4% of the students. The most frequent symptoms are mainly low back pain, stress-discomfort, nervous-anger, and distention and breast tenderness. The severity of premenstrual syndrome was found severe in 1.3%, 5.6% moderate and 92.5% mild and very mild. PMS was found significantly high in those student who have severe menstrual irregularity, heavy bleeding, depression and use of oral contraceptive pill (p < 0.05). When the relation of PMS with time of cycle was evaluated, it was determined that was the most severe signs In the weeks before and during menstrual periods (p < 0.05). Conclusions: Almost all students experience some degree of PMS and this adversely affects the life quality. Proper assessment of premenstrual syndrome symptoms using accepted definitions and diagnostic criteria will allow improvement to select a therapeutic approach to get relief from their symptoms. It was revealed that the preventive, instructive and consultancy roles of the medical staff became more of an issue in reducing the effect of the factors causing and/or aggravating these symptoms in order to decrease PMS prevalence and to improve the life quality of the students. W458 Withdrawn W459 EFFECTIVE FACTORS ON PERFORMING BREAST AND CERVIX CANCER SCREENING TEST BY IRANIAN WORKERS: A QUALITATIVE-MODEL BASED STUDY
designing specific trainings in workplaces for women worker to increase awareness and positive attitudes; and training for families and employers to facilitating women’s access to health centers in industrial sectors; we can move toward a healthy society. W460 COMPARISON OF HEALTH-CARE PROVIDERS AND PRIMIGRAVIDA WOMEN’S ATTITUDE OF SANANDAJ ABOUT MODE OF DELIVERY, 2008–2009 F. Zaheri1 , L. Hasheminasab1 , S. Nazarian1 . 1 Nurse and Midwifery Faculty of Sanandaj of Medical Sciences of Kurdistan of Iran, Sanandaj, Kurdistan, Iran, Islamic Republic of Objectives: Pregnancy and delivery is special event in women’s and theirs family life. Absent or low knowledge and negative attitude about vaginal delivery has been resulted in increasing cesarean. Then cesarean complication has been lead to unpleasant of motherhood experience. The aim of this research was comparison of health-care providers and primigravida women of Sanandaj to mode of delivery. Materials: This descriptive study was done with 637 primigravia women and 154 health-care providers of Sanadaj (the capital city of Kurdistan province in west of Iran) health centers and delivery, postpartum and elcetive wards of educational Beasat’s hospital in 2008–2009. Methods: Data collection tool was a questionnaire including demographic characteristics and attitude (17 question Likert with five options), respectively. Then, after data collection, were analyzed with spss19. Results: In this research, there was significant statistic difference between positive attitude of health-care providers (33.1%) and primigarvida (10%) to vaginal delivery, respectively (P = 0.001). Also, we did not find significant statistic difference between positive attitude of care (43.8%) and health providers to vaginal delivery (p = 0.143). Conclusions: Low acknowledge about delivery methods, delivery mechanism and lack psychological support during childbirth and some other factors, lead to women’s tend to cesarean section. Training classes about vaginal delivery can increase pregnant, s women acknowledge about it. W461 THE FIRST VULVAR CLINIC IN INDIA – REVIEW OF INTERESTING CASES REQUIRING SURGERY
Z. Keshavarz1 . 1 Reproductive health, Assistant professor, Department of reproductive health, Faculty of Nursing and Midwifery, Shahid Beheshti Medical Science University, Tehran, Iran, Tehran, Iran, Islamic Republic of
A.B. Gandhi1 , N. Madnani2 , M. Lala2 . 1 Hinduja Hospital – Gynecology, Mumbai, Maharashtra, India; 2 Hinduja Hospital – Dermatology, Mumbai, Maharashtra, India
Objectives: Breast and cervical cancers impose large costs on society. Performing breast and cervical cancer screening tests (BCCST) are considered as a health promotion behavior. Materials and Methods: This was a qualitative study based on the “Integrated model of planned behavior and self-efficacy (PBSEIM)” to understand the effective factors on the BCCST behavior. A total of seventy female workers aged between 20–45 years from a Tehran’s suburb factories were recruited by purposeful sampling method to participate in ten focus group discussion. Data was analyzed using the conventional content analysis method. Results: Majority of female workers had appropriate attitude toward BCCST. Majority of participants mentioned to the importance of family’s especially husband’s encouragement. Effective factors such as low knowledge, depression, fatigue, shyness and fear from examination, fear from diagnosis of cancer, poor quality of services and financial barriers was mentioned. Majority mentioned to their low self efficacy for planning to perform the behavior. Also they have no intention to do it in the next three months. Conclusions: So interventions are necessary to overcome the effective barriers and improve women’s health. Therfore, By
Objectives: Problems around the vulvar region can lead to severe discomfort and embarrassment. In India, women generally suffer in silence, ignore the problem until it gets very severe. We started our ‘Vulvar Clinic’ at Hinduja hospital in Mumbai about 7 years back, which is the first of its kind in India. This is a joint venture of the department of Dermatology and the Department of Gynecology. Materials: A vulvar clinic is a speciality clinic run by experts to manage skin problems on and around the genital area of women. Though most of the cases need specialized medical treatment, few require surgical management. We have carried out more than 60 surgeries for different types of vulvar lesions including extensive & complicated surgeries requiring multispeciality approach. I intend to present the synopsis of 9 interesting vulvar cases requiring different types of surgeries with the help of photographs. Methods: Following 9 cases will be presented in a concised manner. (1) Vulvar abscess in a 5 year old girl – I&D done. (2) 14 year old girl with primary amenorrhoea with clitoromegaly and Gonadal Dysgenesis – Bilateral laparoscopic gonadectomy with clitoroplasty carried out. (3) Vulvar warts in a pregnant woman leading to severe itching requiring excision. (4) Excision of a big Bartholin cyst. (5) Ulcer in lower one third of right labia majora – Excision