The effects of lichen sclerosus and its treatments on sexuality : case report

Detalhes bibliográficos
Autor(a) principal: Vettorazzi, Janete
Data de Publicação: 2019
Outros Autores: Valério, Edimárlei Gonsales, Perez, Amanda Vilaverde, Silva, Mariana Sbaraini da, Segat, Luciana, Vetori, Daniela, Grossi, Fernanda Santos, Magno, Valentino Antônio
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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spelling 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
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dc.date.accessioned.fl_str_mv 2020-10-10T04:12:44Z
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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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