Non venereal benign dermatoses of vulva in sexually active women: a clinical study
DOI:
https://doi.org/10.18203/issn.2455-4529.IntJResDermatol20162419Keywords:
Benign, Dermatoses, Sexually active, Vulva, VenerealAbstract
Background: Vulvar complaints are usually an uncomfortable discussion not only for the patient but also for the health care provider. Vulva remains one of the most covered regions of the body and seems truly to be a forgotten pelvic organ. Any genital lesion or related symptoms are erroneously considered to be sexually transmitted. Hence this study was conducted to emphasize on the fact that all genital lesions are not sexually transmitted. Objective of the study was to determine the clinical pattern and relative frequency of non-venereal benign dermatoses of vulva in sexually active women at a tertiary health care centre.
Methods: It was a prospective, observational study. All sexually active women attending the outpatient department of Dermatology and Gynecology, who presented either with vulvar complaints or with vulvar dermatoses on routine clinical examination were included in the study. Women with six classical venereal diseases or with vulvar malignancies were excluded from the study. After detailed history & examination, results were tabulated and analysed by SPSS software.
Results: A total of 70 sexually active women were observed. Majority of women were from rural background (54.28%), were housewives (81.42%) and were illiterate (42.85%). The commonest presenting feature was itching. Labia majora was the most common site of involvement and Tinea cruris was the most common dermatoses involved.
Conclusions: All vulvar dermatoses are not sexually transmitted.References
Noller KL. Vulva: the forgotten pelvic organ. Obstet Gynecol 2004;104:913-914
Stewart KMA. Vulvar dermatoses: A practical approach to evaluation and management. JCOM. 2012;19(5):205-20.
Khaitan BK. Non-venereal diseases of genitalia. In:Sharma VK, editor. Sexually Transmitted Diseases and AIDS. 1st edn. New Delhi: Viva books Pvt Ltd. 2003:413-421.
Margesson LJ. Vulvar disease pearls. Dermatology clinics. 2006;24:145-55.
Mckay M. Vulvar dermatoses: common problems in dermatological and gynecological practice. Br J Clin Pract Suppl. 1990;71:5-10.
Pathak D, Agrawal S, Dhali TK. Prevalence of and risk factors for vulvar disease in Nepal: a hospital- based study. Intern J Dermatol. 2011;50:161-7.
Singh N, Thappa DM, Jaisankar TJ, Habeebullah S. Pattern of non-venereal dermatoses of female external genitalia in South India. Dermatology Online J. 2008;14(1):1.
Cheung ST, Gach JE, Lewis FM. A retrospective study of referral patterns to a vulvar clinic: highlighting educational need in this subspeciality. J Obstet Gynecol. 2006;26(5):435-7.
Harlow BL, Wise LA, Stewart EG. Prevalence and predictors of chronic lower genital tract discomfort. Am J Obstet Gynecol. 2001;185:545-50.
Bauer A, Greif C, Vollandt R. vulvar disease needs an interdisciplinary approach. Dermatology. 1999;99:223-6.
Sullivan AK, Straghair GJ, Marwood RP, Staughton RC. A multidisciplinary vulval clinic: the role of genitor-urinary medicine. J Eur Acad Dermatol Venereol. 1999;13:36-40.
Fischer G, Rogers M. Vulvar diseases in children: A clinical audit of 130 cases. Pediatric Dermatol. 2000;17(1):1-6.
Meyrick Thomas RH, Ridley CM, McGibbon DH, Black MM. Lichen sclerosus et atrophicus and autoimmunity: a study of 350 women. Br J Dermatol. 1988;118(1):41-6.
Gokdemir G, Baksu B, Baksu A, Davas I, Koslu A. Features of patients with vulvar dermatoses in dermatologic and gynecologic practice in Turkey: Is there a need for an interdisciplinary approach? J Obstet Gynecol Res. 2005;31:427-31.
