Vulvar Dermatoses: A Primer for the Sexual Medicine Clinician

Spadt, Susan Kellogg; Kusturiss, Elizabeth

doi:10.1002/smrj.55

Cited by 19 publications

(9 citation statements)

References 53 publications

(206 reference statements)

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“…Vulvar complaints are among the most frequent causes for a woman to visit a healthcare provider . They often lead to sexual conflicts and impairment of quality of life .…”

Section: Introductionmentioning

confidence: 99%

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

et al. 2019

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Background Vulvar complaints are among the most frequent causes for a woman to visit a healthcare provider. The diseases of this area of the body may be a challenge to diagnose. In this study, we assess epidemiologic and clinical data of patients in an outpatient vulvar clinic in the dermatology department of a tertiary hospital. MethodsWe performed an observational retrospective study of patients who attended our consultation service for vulvar diseases at the Dermatology Division at Hospital das Cl ınicas da Faculdade de Medicina da USP during a 4-year period. Data were obtained by patient medical records and by phone.Results During the 4-year period under study, a total of 136 patients were treated in the outpatient service specialized in vulvar care. All patients were included in the study. The most frequent diagnoses were lichen sclerosus et atrophicus (64.7%), lichen planus (8.8%), and vitiligo (8%). We registered that 26.7% of the patients showed extravulvar involvement.Conclusions Women with vulvar diseases need specific care, considering not only genital aspects but also all skin changes. In this context, the dermatologist is a very well trained professional to take good and complete care of these patients. However, ideally vulvar clinics should have a multidisciplinary team.

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“…Vulvar complaints are among the most frequent causes for a woman to visit a healthcare provider . They often lead to sexual conflicts and impairment of quality of life .…”

Section: Introductionmentioning

confidence: 99%

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

et al. 2019

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Section: Discussionmentioning

confidence: 99%

“…20,22 Topical antipruritic medications can cause allergic dermatitis, so they should not be used. 23 Patients should be counseled to cleanse the vulva with water only in the future, even after intercourse. 24 Patients should be cautioned against trusting labeling claims that a product is "natural," "fragrance-free," "soothing," "organic," and the like.…”

Section: Discussionmentioning

confidence: 99%

A cross-sectional study of contact allergens in feminine hygiene wipes: a possible cause of vulvar contact dermatitis

Newton

Richardson

Oosbre

et al. 2022

International Journal of Women’s Dermatology

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Background: Feminine hygiene wipes marketed toward women for maintaining freshness and cleanliness of the vulva and perineum are abundant both in-store and online. Many of these products boast being “fragrance free,” “gentle,” and “for sensitive skin,” which is attractive to consumers. However, these claims do not necessarily mean they are free of potential allergens. Objective: The present study aims to investigate the presence and prevalence of potential allergens in the most used feminine hygiene wipes. Methods: An internet-based search was performed to identify best-selling name brand and generic feminine hygiene wipes. Each unique wipe was analyzed and compared to the North American Contact Dermatitis Group 80 allergens. Results: We found contact allergens are frequently present in feminine hygiene wipes, most commonly fragrances, other scented botanicals in the form of essences, oils, and fruit juices, and vitamin E (tocopherol). All wipes analyzed in this study contained potential allergens. Limitations: The inability to eliminate commercial names from analysis could have introduced bias. Conclusions: Vaginal and vulvar epithelia are highly susceptible to contact allergens, often found in products marketed for feminine hygiene and cleanliness. Providers should caution patients against trusting product labeling claims to avoid incidental contact allergy and encourage simply cleansing the vulva with water.

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“…Fragility is a hallmark of LS, becoming manifest in erosions, fissuring, purpura, and ecchymoses. Fissuring is especially common between the clitoris and urethra, in the interlabial sulci, and at the base of the posterior fourchette [4].…”

Section: Introductionmentioning

confidence: 99%

“…Pain, soreness, and dysuria may be a consequence of erosions or fissures. A high proportion of women of all ages reported that LS led to significant sexual problems including dyspareunia and apareunia due to continuing inflammatory disease as well as due to anatomic changes and scarring from long-standing active disease [4]. The current accepted management guidelines for LS advocate the use of topical corticosteroids as first-line treatment with relief of symptoms and clinical and histologic improvement, and it is also recommended to use emollient creams with the aim of restoring the protective skin barrier [5,6].…”

Section: Introductionmentioning

confidence: 99%

Vulvar lichen sclerosus: could a moisturizing and healing product reduce the prolonged use of topical steroid?

Murina¹,

Vicariotto²,

Francesco³

et al. 2017

Clin Obstet Gynecol Reprod Med

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Vulvar Dermatoses: A Primer for the Sexual Medicine Clinician

Cited by 19 publications

References 53 publications

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

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

A cross-sectional study of contact allergens in feminine hygiene wipes: a possible cause of vulvar contact dermatitis

Vulvar lichen sclerosus: could a moisturizing and healing product reduce the prolonged use of topical steroid?

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