The effects of lichen sclerosus and its treatments on sexuality : case report
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UFRGS |
Texto Completo: | http://hdl.handle.net/10183/214086 |
Resumo: | Lichen sclerosus is a chronic and autoimmune dermatitis that develops in the anogenital region. It is related to genital alterations with repercussions in sexuality. We present a case of a 60-year-old woman who had several chronic diseases and had been diagnosed with vulvar lichen sclerosusfor 20 years, with no response to multiple treatments (topical corticosteroids, immuno-modulators). She was submitted to vulvectomy; however, it leads to worsen-ing of her condition, presenting obliterated and fibrosed clitoris, atrophic va-ginal lips, and anal and vulvar fissures. She remained with dyspareunia, de-creased sexual desire and difficulty in orgasm. She underwent sexual therapy, adjustment of antidepressant medication and made intercalated use of topical corticosteroids, topical testosterone andvaginal moisturizers, with partial improvement. From this case we can conclude that, although vulvectomy can be related to some degree of improvement in patients with lichen sclerosus, serious complications can occur. |
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Vettorazzi, JaneteValério, Edimárlei GonsalesPerez, Amanda VilaverdeSilva, Mariana Sbaraini daSegat, LucianaVetori, DanielaGrossi, Fernanda SantosMagno, Valentino Antônio2020-10-10T04:12:44Z20192160-8806http://hdl.handle.net/10183/214086001117345Lichen sclerosus is a chronic and autoimmune dermatitis that develops in the anogenital region. It is related to genital alterations with repercussions in sexuality. We present a case of a 60-year-old woman who had several chronic diseases and had been diagnosed with vulvar lichen sclerosusfor 20 years, with no response to multiple treatments (topical corticosteroids, immuno-modulators). She was submitted to vulvectomy; however, it leads to worsen-ing of her condition, presenting obliterated and fibrosed clitoris, atrophic va-ginal lips, and anal and vulvar fissures. She remained with dyspareunia, de-creased sexual desire and difficulty in orgasm. She underwent sexual therapy, adjustment of antidepressant medication and made intercalated use of topical corticosteroids, topical testosterone andvaginal moisturizers, with partial improvement. From this case we can conclude that, although vulvectomy can be related to some degree of improvement in patients with lichen sclerosus, serious complications can occur.application/pdfengOpen Journal of Obstetrics and Gynecology. Irvine. Vol. 9, no. 6 (2019), p. 755-763Líquen escleroso e atróficoDispareuniaCorticosteróidesVulvectomiaRelatos de casosLichen sclerosusDyspareuniaCorticosteroidsVulvectomyThe effects of lichen sclerosus and its treatments on sexuality : case reportEstrangeiroinfo:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFRGSinstname:Universidade Federal do Rio Grande do Sul (UFRGS)instacron:UFRGSTEXT001117345.pdf.txt001117345.pdf.txtExtracted Texttext/plain27707http://www.lume.ufrgs.br/bitstream/10183/214086/2/001117345.pdf.txt315582d82b66ead74742d1327e7600d9MD52ORIGINAL001117345.pdfTexto completo (inglês)application/pdf289901http://www.lume.ufrgs.br/bitstream/10183/214086/1/001117345.pdf295e4ab86ba2405f67fcd4699715bdafMD5110183/2140862020-10-11 04:00:06.280994oai:www.lume.ufrgs.br:10183/214086Repositório de PublicaçõesPUBhttps://lume.ufrgs.br/oai/requestopendoar:2020-10-11T07:00:06Repositório Institucional da UFRGS - Universidade Federal do Rio Grande do Sul (UFRGS)false |
dc.title.pt_BR.fl_str_mv |
The effects of lichen sclerosus and its treatments on sexuality : case report |
title |
The effects of lichen sclerosus and its treatments on sexuality : case report |
spellingShingle |
The effects of lichen sclerosus and its treatments on sexuality : case report Vettorazzi, Janete Líquen escleroso e atrófico Dispareunia Corticosteróides Vulvectomia Relatos de casos Lichen sclerosus Dyspareunia Corticosteroids Vulvectomy |
title_short |
The effects of lichen sclerosus and its treatments on sexuality : case report |
title_full |
The effects of lichen sclerosus and its treatments on sexuality : case report |
title_fullStr |
The effects of lichen sclerosus and its treatments on sexuality : case report |
title_full_unstemmed |
The effects of lichen sclerosus and its treatments on sexuality : case report |
title_sort |
The effects of lichen sclerosus and its treatments on sexuality : case report |
author |
Vettorazzi, Janete |
author_facet |
Vettorazzi, Janete Valério, Edimárlei Gonsales Perez, Amanda Vilaverde Silva, Mariana Sbaraini da Segat, Luciana Vetori, Daniela Grossi, Fernanda Santos Magno, Valentino Antônio |
author_role |
author |
author2 |
Valério, Edimárlei Gonsales Perez, Amanda Vilaverde Silva, Mariana Sbaraini da Segat, Luciana Vetori, Daniela Grossi, Fernanda Santos Magno, Valentino Antônio |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
Vettorazzi, Janete Valério, Edimárlei Gonsales Perez, Amanda Vilaverde Silva, Mariana Sbaraini da Segat, Luciana Vetori, Daniela Grossi, Fernanda Santos Magno, Valentino Antônio |
dc.subject.por.fl_str_mv |
Líquen escleroso e atrófico Dispareunia Corticosteróides Vulvectomia Relatos de casos |
topic |
Líquen escleroso e atrófico Dispareunia Corticosteróides Vulvectomia Relatos de casos Lichen sclerosus Dyspareunia Corticosteroids Vulvectomy |
dc.subject.eng.fl_str_mv |
Lichen sclerosus Dyspareunia Corticosteroids Vulvectomy |
description |
Lichen sclerosus is a chronic and autoimmune dermatitis that develops in the anogenital region. It is related to genital alterations with repercussions in sexuality. We present a case of a 60-year-old woman who had several chronic diseases and had been diagnosed with vulvar lichen sclerosusfor 20 years, with no response to multiple treatments (topical corticosteroids, immuno-modulators). She was submitted to vulvectomy; however, it leads to worsen-ing of her condition, presenting obliterated and fibrosed clitoris, atrophic va-ginal lips, and anal and vulvar fissures. She remained with dyspareunia, de-creased sexual desire and difficulty in orgasm. She underwent sexual therapy, adjustment of antidepressant medication and made intercalated use of topical corticosteroids, topical testosterone andvaginal moisturizers, with partial improvement. From this case we can conclude that, although vulvectomy can be related to some degree of improvement in patients with lichen sclerosus, serious complications can occur. |
publishDate |
2019 |
dc.date.issued.fl_str_mv |
2019 |
dc.date.accessioned.fl_str_mv |
2020-10-10T04:12:44Z |
dc.type.driver.fl_str_mv |
Estrangeiro info:eu-repo/semantics/article |
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info:eu-repo/semantics/publishedVersion |
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article |
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publishedVersion |
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http://hdl.handle.net/10183/214086 |
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2160-8806 |
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001117345 |
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2160-8806 001117345 |
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http://hdl.handle.net/10183/214086 |
dc.language.iso.fl_str_mv |
eng |
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eng |
dc.relation.ispartof.pt_BR.fl_str_mv |
Open Journal of Obstetrics and Gynecology. Irvine. Vol. 9, no. 6 (2019), p. 755-763 |
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info:eu-repo/semantics/openAccess |
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openAccess |
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application/pdf |
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