Inclusion Criteria:  Prior diagnosis of a vulval condition with increased risk of malignancy ( lichen sclerosus, lichen planus or vulval intraepithelial neoplasia) New diagnosis of a vulval condition with increased risk of malignancy ( lichen sclerosus, lichen planus or vulval intraepithelial neoplasia) Must be able to provide informed consent  Exclusion Criteria:  Inability to consent or complete questionnaires due to cognitive or language issues Inability of perform a vulval self-examination due to physical or visual impairments  Note: Those with physical or visual impairments can participate if a dyad is willing to learn how to perform a vulval examination