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Assessing sexual function and vulvovaginal symptoms in young patients with vulvar dystrophy

https://doi.org/10.17749/2313-7347/ob.gyn.rep.2020.127

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Abstract

Aim: to comparatively assess sexual function and intensity of vulvovaginal symptoms in patients with vulvar lichen sclerosus and mixed vulvar dystrophy.
Materials and Methods. There were examined 57 patients with vulvar lichen sclerosus and 63 patients with mixed vulvar dystrophy, with mean patient age 35.0 ± 0.6 (18–45) years. Prior to therapy, the study participants completed the Female Sexual Function Index (FSFI) and the Vulvovaginal Symptoms Questionnaire (VSQ).
Results. Severe sexual dysfunction (FSFI score 2) was detected in 14 % of cases (n = 8) in group 1 (sclerotic lichen vulva) and 17 % (n = 11) in group 2 (mixed dystrophy). Remaining respondents had total score below the normal cut-off. The mean FSFI score for group 1 and 2 was 17.68 and 16.78, respectively. VSQ testing found that most common complaint in both groups was itching (91 and 95 %, respectively). The majority of patients also noted a deteriorated emotional state and disease-related limitations in everyday life. The maximum VSQ score was 20 corresponding to the peak negative disease impact found in 23 % and 37 % patients in group 1 (n = 13) and group 2 (n = 23), respectively. Many patients also noted lack of lubrication most likely associated with discomfort and pain during intercourse, as well as worsened relationship with partner.
Conclusion. The vulvar dystrophy negatively affects sexual function in young women. Symptoms typical to such conditions impose marked restrictions on intimate life, relationships and quality of general life. It accounts for why it is important to include questionnaires in the set of measures to assess sexual function and vulvovaginal symptoms both before and after treatment.

About the Authors

A. G. Solopova
Sechenov University
Russian Federation

Antonina G. Solopova – MD, Dr Sci Med, Professor, Department of Obstetrics and Gynecology, Filatov Clinical Institute of Children’s Health

Scopus Author ID: 6505479504. Researcher ID: Q-1385-2015

2 bldg. 4, Bolshaya Pirogovskaya Str., Moscow 119991



E. E. Achkasov
Sechenov University
Russian Federation

Evgeniy E. Achkasov – MD, Dr Sci Med, Professor, Head of the Department of Sports Medicine and Rehabilitation, Institute of Clinical Medicine

2 bldg. 4, Bolshaya Pirogovskaya Str., Moscow 119991



A. D. Makatsariya
Sechenov University
Russian Federation

Alexander D. Makatsariya – MD, Dr Sci Med, Academician of RAS, Professor, Head of the Department of Obstetrics and Gynecology, Filatov Clinical Institute of Children’s Health

Scopus Author ID: 6602363216. Researcher ID: M-5660-2016

2 bldg. 4, Bolshaya Pirogovskaya Str., Moscow 119991



I. V. Khamani
Sechenov University
Russian Federation

Inessa V. Khamani – MD, PhD, Associate Professor, Department of Obstetrics and Gynecology, Filatov Clinical Institute of Children’s Health

2 bldg. 4, Bolshaya Pirogovskaya Str., Moscow 119991



T. A. Blbulyan
Mkhitar Heratsi Yerevan State Medical University
Armenia

Tatevik А. Blbulyan – MD, Assistant, Department of Obstetrics and Gynecology № 2

2 Koryun Str., Yerevan 0025



V. S. Moskvichyova
Sechenov University
Russian Federation

Viktoriya S. Moskvichyova – MD, Clinical Resident, Department of Sports Medicine and Medical Rehabilitation, Institute of Clinical Medicine

Scopus Author ID: 57201495137. Researcher ID: H-2410-2019

2 bldg. 4, Bolshaya Pirogovskaya Str., Moscow 119991



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For citation:


Solopova A.G., Achkasov E.E., Makatsariya A.D., Khamani I.V., Blbulyan T.A., Moskvichyova V.S. Assessing sexual function and vulvovaginal symptoms in young patients with vulvar dystrophy. Obstetrics, Gynecology and Reproduction. 2020;14(6):622-629. (In Russ.) https://doi.org/10.17749/2313-7347/ob.gyn.rep.2020.127

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ISSN 2313-7347 (Print)
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