scholarly journals Vulvar Pruritus: A Review of Clinical Associations, Pathophysiology and Therapeutic Management

2021 ◽  
Vol 8 ◽  
Author(s):  
Haya S. Raef ◽  
Sarina B. Elmariah

Vulvar pruritus is an unpleasant sensation and frequent symptom associated with many dermatologic conditions, including infectious, inflammatory and neoplastic dermatoses affecting the female genitalia. It can lead to serious impairment of quality of life, impacting sexual function, relationships, sleep and self-esteem. In this review, common conditions associated with vulvar itch are discussed including atopic and contact dermatitis, lichen sclerosus, psoriasis and infectious vulvovaginitis. We review the potential physiologic, environmental and infectious factors that contribute to the development of vulvar itch and emphasize the importance of addressing their complex interplay when managing this disruptive and challenging symptom.

Author(s):  
Steven Lamm ◽  
Jonathan Bekisz

There are few conditions that have such wide-ranging effects on sexual function as obesity. Though many of the exact mechanisms are yet to be elucidated, its impacts on the cardiovascular, endocrine, and nervous systems, among others, bestow upon obesity an almost unrivaled ability to devastate the human sexual response. Further, the effects of obesity extend beyond the purely physiologic into the psychologic and have the ability to impair both males and females alike. The downstream sequelae of sexual dysfunction secondary to obesity can significantly impair an individual’s quality of life, affecting his or her self-esteem, opportunity to form and maintain meaningful relationships, and ability to reproduce if desired, all of which can further promote pro-obesogenic attitudes and behaviors. Thus there is tremendous incentive for appreciation and understanding of the complex interplay between obesity and sexual function, as well as their relation to an individual’s overall physical and mental health.


2020 ◽  
Author(s):  
Samaneh Youseflu ◽  
Shahideh Jahanian Sadatmahalleh

Abstract Background: This study aimed to test a conceptual model considering the interrelated role of menorrhagia, body image concern, self-esteem, anxiety and depression, sexual function, on quality of life (QOL) of sterilized women.Methods: The current study was conducted as a retrospective cohort study on 200 sterilized women. Data were collected using a socio-demographic checklist, Short Form Health Survey (SF-12), Pictorial Blood Loss Assessment Chart (PBLAC), Female Sexual Function Index (FSFI), Hospital Anxiety and Depression Scale (HADS), Body Image Concern Inventory (BICI), and Rosenberg Self-Esteem Scale.Results: Results show that anxiety (β =-0.51), sexual function (β =0.15) self-esteem (β =0.15), and body image dissatisfaction (β = -0.10) have a direct effect on women’s QOL. Higher level of anxiety, body dissatisfaction with direct effect can be reduce QOL. Anxiety (β =-0.05), sexual function (β =0.20), and menorrhagia (β =-0.09) with indirect effect impress QOL. Higher level of anxiety with indirect effect thorough self-esteem can worsen QOL (β =-0.05).Conclusion: Regarding the psycho-sexual influence of sterilization on women’s QOL, a comprehensive consultation about the negative consequence of sterilization before TL, and psychotherapeutic and psychosexual help after sterilization should be offered.


2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Julien Lambert

Pruritus is a frequent symptom in many dermatological diseases. In this review we want to focus on not only itch problems specific to women, namely, pruritic vulvodermatoses, but also the specific pruritic dermatoses of pregnancy. The specific characteristics of the vulva and the hormonal changes during the different age periods make these dermatoses very particular. It seems that vulvar diseases are still underdiagnosed and undertreated. Pruritic vulvar diseases have a huge impact on quality of life. The most common pruritic diseases will be discussed, such as atopic and contact dermatitis, psoriasis, lichen sclerosis, lichen planus, and infectious vulvaginitis. We focus on the diagnostic issue of these diseases and will consider the general principles of therapy.


Cancer ◽  
2010 ◽  
Vol 116 (6) ◽  
pp. 1592-1601 ◽  
Author(s):  
Diana M. Greenfield ◽  
Stephen J. Walters ◽  
Robert E. Coleman ◽  
Barry W. Hancock ◽  
John A. Snowden ◽  
...  

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Samaneh Youseflu ◽  
Shahideh Jahanian Sadatmahalleh

Abstract Background Tubal ligation, as a permanent contraception method, have a negative and positive impact on women’s life. This study aimed to test a conceptual model considering the interrelated role of menorrhagia, body image concern, self-esteem, sexual function, anxiety and depression on quality of life (QOL) of sterilized women. Methods The current study was conducted as a cross-sectional study on 200 sterilized women. Data were collected using a socio-demographic checklist, Short Form Health Survey (SF-12), pictorial blood loss assessment chart, female sexual function index, hospital anxiety and depression scale, body image concern inventory, and Rosenberg Self-esteem Scale. Data were analyzed using Pearson correlation coefficient and path analysis. Results Results show that anxiety, sexual function, self-esteem, and body image dissatisfaction have a direct effect on women’s QOL. Higher level of anxiety, and body dissatisfaction directly reduce QOL. Sexual function, and menorrhagia, with an indirect effect through anxiety, reduces QOL. Higher level of anxiety with indirect effect thorough self-esteem can worsen QOL. Also, sexual function indirectly affects QOL through anxiety. Conclusion It looks that the proposed predictors of this model are greatly important. These findings give support for a hypothetical model in which betterment in SF, body image satisfaction, self-esteem, anxiety, and menorrhagia led to a good QOL of sterilized women. Hence, in designing care for sterilized women, these factors should be considered.


2018 ◽  
Vol 22 (1) ◽  
pp. 104-107
Author(s):  
А.P. Hryhorenko ◽  
О.H. Horbatiuk ◽  
А.S. Shatkovska ◽  
А.M. Binkovska ◽  
V.Y. Onyshko

The article presents the data on a study of sexual function in perimenopausal age women with stress urinary incontinence after transobturator tape (TOT) sling procedure with the subsequent prescription of vaginal estrogens during the month. Purpose — to assess the effectiveness of influence transobturator tape (TOT) sling procedure with the subsequent prescription of vaginal estrogens during the month on sexual function in perimenopausal age women with stress urinary incontinence. We evaluate the recovery of sexual function in 16 perimenopausal age (45-50 years) women with stress urinary incontinence after transobturator tape (TOT) sling procedure with the subsequent prescription of vaginal estrogens during the month using the Incontinence Quality of Life (I-QOL) questionnaire. In 1 month after the treatment we found an improvement in the daily activity of women in 3 times, self-esteem in 2.6 times, sexual function in 2 times, the overall quality of life in 3.3 times, a decrease of emotional stress in 2.8 times, the reduction of additional effort in 3.3 times. A decrease in sexual discomfort was found in the postoperative period in 75% of women, number women with lack of libido decreased by 31.25%, and a number of women who had orgasms during coitus increased by 25%. Thus, transobturator tape (TOT) sling procedure with the subsequent prescription of vaginal estrogens during the month normalized sexual dysfunction in perimenopausal age women with stress urinary incontinence.


2020 ◽  
Author(s):  
Samaneh Youseflu ◽  
Shahideh Jahanian Sadatmahalleh

Abstract Background: Tubal ligation (TL), as a permanent contraception method, have a negative and positive impact on women’s life. This study aimed to test a conceptual model considering the interrelated role of menorrhagia, body image concern, self-esteem, sexual function, anxiety and depression on quality of life (QOL) of sterilized women. Methods: The current study was conducted as a cross-sectional study on 200 sterilized women. Data were collected using a socio-demographic checklist, Short Form Health Survey (SF-12), Pictorial Blood Loss Assessment Chart (PBLAC), Female Sexual Function Index (FSFI), Hospital Anxiety and Depression Scale (HADS), Body Image Concern Inventory (BICI), and Rosenberg Self-esteem Scale. Data were analyzed using Pearson correlation coefficient and path analysis. Results: Results show that anxiety, sexual function, self-esteem, and body image dissatisfaction have a direct effect on women’s QOL. Higher level of anxiety, and body dissatisfaction directly reduce QOL. Sexual function, and menorrhagia, with an indirect effect through anxiety, reduces QOL. Higher level of anxiety with indirect effect thorough self-esteem can worsen QOL. Also, sexual function indirectly affects QOL through anxiety.Conclusion: It looks that the proposed predictors of this model are greatly important. These findings give support for a hypothetical model in which betterment in SF, body image satisfaction, self-esteem, anxiety, and menorrhagia led to a good QOL of sterilized women. Hence, in designing care for sterilized women, these factors should be considered.


2021 ◽  
Author(s):  
Jieyu wang ◽  
Xiaoqing Lv ◽  
Jingmei Wu ◽  
Wangqin Tang ◽  
Danni Wang ◽  
...  

Abstract Background: Infertility can be characterized as a situation of dyadic stress because it affects both individuals and their partners. Previous studies have shown that infertile couples have a poorer quality of life (QoL). However, the impact of sexual function on couples’ QoL and the potential mediating role of self-esteem during in vitro fertilization is unexplored. Our study aimed to investigate the relationship between sexual function and QoL in couples with infertility through mediation of self-esteem at the dyadic level. Methods: In this descriptive cross-sectional study, 428 infertile couples (856 individuals) undergoing in vitro fertilization (IVF) were recruited from the First Affiliated Hospital of Anhui Medical University in China between October 2020 and January 2021. We assessed sociodemographic and clinical characteristics, sexual function, self-esteem, and QoL of the dyads. Dyadic data were analyzed using the Actor-Partner Interdependence Mediation Model approach (APIMeM). Results: The APIMeM analysis indicated that the sexual function of infertile wives and husbands was positively correlated with their individual QoL, directly or indirectly, mediated by increasing their personal self-esteem. The wives’ sexual function was positively correlated with their husbands’ QoL, directly or indirectly, mediated by increasing the wives’ self-esteem. There were partial mediating and masking effects of the wives’ self-esteem on the relationship between their husbands’ sexual function and wives’QoL and their husbands’ sexual function and their own QoL. Conclusions: The results suggest that improving infertile husbands’ and wives’ sexual function can improve the QoL for both the individual and the partner; improving the husbands’ self-esteem can improve the husbands’ own QoL, while improving the wives’ self-esteem can improve the QoL for both themselves and their husbands. Therefore, sex therapy and psychological interventions that strengthen self-esteem should treat the couple as a unit in the context of infertility.


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