What type of physical examination is crucial in the assessment of vulvar lesions?

• A. Pelvic examination
• B. Transvaginal ultrasound
• C. Clinical breast examination
• D. Abdominal palpation

Answer: (A)

The assessment of vulvar lesions is primarily conducted through a pelvic examination. During this examination, a healthcare provider visually inspects the external genitalia and surrounding areas for any abnormalities, including lesions, discoloration, or changes in texture. This hands-on examination allows the provider to assess the nature and extent of the lesions directly, which is critical for accurate diagnosis and subsequent management.

In contrast, transvaginal ultrasound is primarily used for imaging internal structures of the reproductive system and would not provide a direct view or assessment of vulvar lesions. A clinical breast examination focuses specifically on breast health and would not address vulvar issues. Lastly, abdominal palpation is more suitable for assessing organs and structures within the abdominal cavity and would not facilitate an effective evaluation of the vulvar area. These distinctions underscore why the pelvic examination is essential in evaluating vulvar lesions.