Abstract

Introduction

Vulvar lichen planus (LP) and vulvar lichen sclerosus (LS) are chronic inflammatory diseases that affect women’s sexual health. In this study, our aim was to investigate sexual function, anxiety level and genital self-image in vulvar LP and vulvar LS patients.

Methods

This study was conducted on a total of 178 women who presented to the gynecology clinic between February 2019 and January 2020. The patients were divided into the following groups: group 1, vulvar LP (n = 21); group 2, vulvar LS (n = 59); group 3, fungal vulvitis controls (n = 48); and group 4, healthy controls (n = 50). The validated Female Sexual Function Index (FSFI), Beck Anxiety Index (BAI), and Female Genital Self-Image Scale (FGSIS) questionnaires were assessed in all women.

Results

There were no significant differences among the groups with respect to age, parity, menopausal status, body mass index (BMI), vaginal intercourse past 1 month, marital status or educational status (p > .05). There were statistically significant differences between the vulvar LP and vulvar LS groups compared to control groups in terms of FSFI total scores and subscores (p < .001). When FGSIS and BAI scores were analyzed, significant statistical differences were found among the study groups (p < .001). A positive correlation was found between the FSFI and FGSIS scores in patients with vulvar LP and LS. Additionally, a negative correlation was found between the FSFI and BAI scores in patients with vulvar LP and LS.

Conclusions

Our study showed that sexual function, genital self-image and anxiety level were associated in vulvar LP and vulvar LS patients. Vulvar LP and vulvar LS patients with worse genital self-image have more sexual problems and anxious conditions.

中文翻译：

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女性外阴扁平苔藓或扁平苔藓硬化患者的生殖器自我形象和性功能障碍的评估

摘要

介绍

外阴扁平苔藓（LP）和外阴扁平苔藓（LS）是影响女性性健康的慢性炎症性疾病。在这项研究中，我们的目的是调查外阴LP和外阴LS患者的性功能，焦虑水平和生殖器自我形象。

方法

这项研究是对总共178名女性谁2019年2月和2020年一月之间呈现给妇科门诊就诊的患者分为以下几组进行：第1组，外阴LP（ñ  = 21）; 第2组，外阴LS（n  = 59）; 第3组，真菌外阴炎对照（n  = 48）；第4组，健康对照组（n  = 50）。在所有女性中，均对经过验证的女性性功能指数（FSFI），贝克焦虑指数（BAI）和女性生殖器自我形象量表（FGSIS）进行了评估。

结果

各组之间在年龄，性别，更年期状态，体重指数（BMI），1个月后的阴道性交，婚姻状况或教育状况方面无显着差异（p  > .05）。与对照组相比，外阴LP组和外阴LS组之间在FSFI总评分和亚评分方面存在统计学上的显着差异（p  <.001）。分析FGSIS和BAI分数后，发现各研究组之间存在显着的统计学差异（p  <.001）。外阴LP和LS患者的FSFI和FGSIS评分之间呈正相关。另外，外阴LP和LS患者的FSFI和BAI评分之间呈负相关。

结论

我们的研究表明，外阴LP和外阴LS患者的性功能，生殖器自我形象和焦虑水平相关。生殖器自我形象较差的外阴LP和外阴LS患者有更多的性问题和焦虑症。