High Prevalence of Sexual Dysfunction in a Vulvovaginal Specialty Clinic

Abstract

Objective Our study evaluated the presence and predictors of sexual dysfunction in a vulvovaginal specialty clinic population. Materials & Methods Women who presented to a vulvovaginal specialty clinic were eligible to enroll. Participants completed a questionnaire, including Female Sexual Function Index (FSFI) to assess sexual dysfunction and Patient Health Questionnaire (PHQ)-9 depression screen, and underwent a standardized physical exam, with vaginal swabs collected for wet mount and culture. Logistic regression assessed the relationship between sexual dysfunction and clinical diagnosis. Results We enrolled 161 women, aged 18–80 years (median = 36), presenting with vulvovaginal complaints. Median symptom duration was 24 months; 131 women (81%) reported chronic symptoms (≥12 months). By PHQ-9, 28 (17%) women met depression criteria. In the month prior to assessment, 86 (53%) women experienced sexual dysfunction. Women were primarily diagnosed with vaginitis (n = 46, 29%), vestibulodynia/vulvitis (n = 70; 43%), lichen planus or lichen sclerosus (n = 24; 15%). Controlling for age, sexual dysfunction did not correlate with chronic symptoms (IRR 0.86, 95% CI 0.50–1.48), depression (IRR 1.24; 95% CI 0.59, 2.58), or presence of any of the three main diagnoses (IRR 1.16, 95% CI 0.47, 2.88). Discussion Sexual dysfunction is present in over half of women presenting to a vulvovaginitis referral clinic, more than twice the rate in the wider population.

Assessment of Feminine Hygiene and Sexual Function Among Intrauterine Device Users

“…From the researcher point of view this similarity as education becomes basic need in all different social layers. In this current study reported that half of cases get their menarche was (13)(14) and with duration (3)(4)(5) days, this study is supported by Koseoglu (2016) this study title was" Is There Any Impact of Copper Intrauterine Device on Female Sexual Functioning'' In this cross-sectional study subjects were divided into two groups IUD users group was nearly half and control group was nearly half. Both two gropes started their menarche between age (12)(13)(14) years with duration (3-5) days.…”

Clinical and epidemiological profile of patients attended in a vulvar clinic of the dermatology outpatient unit of a tertiary hospital during a 4‐year period

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