If there was one thing Gillian knew, it was that she did not want a hole punch anywhere near her genitals. So when, in 2018, a gynecologist recommended a vulval biopsy to check for signs of cancer, she hesitated. The doctor suspected that the whitish speck of skin that Gillian had found next to her clitoris was lichen sclerosus, a skin condition that is usually benign. To Gillian, a registered nur
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