Bae, K.E. (Ki Eun) (2020) Sexual functioning among premenopausal women with lichen sclerosus and aspect of communication and motivation for its treatment. A pilot study. thesis, Medicine.
Full text available on request.Abstract
Sexual dysfunction (SD) is experienced by many patients with vulvar lichen sclerosus LS, a chronic and progressive dermatologic condition of vulva that cause vulvar skin to be vulnerable to friction as well as structural changes. However, other than the perspective of pain and mechanical difficulties, little context is added to LS patients’ sexual functioning and how such issue is being addressed and communicated in practice. There is also no information on whether or not patients understand and are motivated for treatment i.e. sexologist counselling. This pilot, case-control study has collected a number of validated questionnaires to assess sexual functioning (FSFI) and sexual distress (FSDS-R) as well as other sets of questions developed for this specific research. The study has primarily focused on premenopausal women. Comparison with general population was made using data from an earlier study. In total of 23 LS patients from the age group of 20-40 have participated. About 48% of the patients had SD according to FSFI which was higher when compared to the general population (28%) and patients’ sexual functioning was decreased on several domains, significantly. LS patients also showed higher prevalence of high level of sexual distress of 69.6%. Markedly, 43.5% of the patients had not been informed about possible impact of LS on sexual functioning and 79.6% of the patients had no interest in seeing a sexologist, even when SD was present. Despite the clear guidelines and high prevalence of SD among LS patients communication and education about this issue seems to be severely lacking. A follow-up study that provides in�depth understanding including larger number of sample seems crucial to investigate reasons behind such lacks in sexual health care as well as to explore methods to improve them.
| Item Type: | Thesis (UNSPECIFIED) |
|---|---|
| Supervisor name: | Dijkstra, J.R. |
| Faculty: | Medical Sciences |
| Date Deposited: | 16 Dec 2021 13:22 |
| Last Modified: | 16 Dec 2021 13:25 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/2876 |
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