Vulvar intra-epithelial neoplasia

If you were thinking of this…

and now you discover that as a young woman, she had "abnormal" paps which lead to her having a hysterectomy. She has had no further surveillance of the health of her vagina, as she thought it was not required after surgery. 

What else would you consider? (Remember to only click on those options you would realistically choose in practice. When done, click on the [ >> Finished…] button