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dc.contributor.authorVettorazzi, Janetept_BR
dc.contributor.authorValério, Edimárlei Gonsalespt_BR
dc.contributor.authorPerez, Amanda Vilaverdept_BR
dc.contributor.authorSilva, Mariana Sbaraini dapt_BR
dc.contributor.authorSegat, Lucianapt_BR
dc.contributor.authorVetori, Danielapt_BR
dc.contributor.authorGrossi, Fernanda Santospt_BR
dc.contributor.authorMagno, Valentino Antôniopt_BR
dc.date.accessioned2020-10-10T04:12:44Zpt_BR
dc.date.issued2019pt_BR
dc.identifier.issn2160-8806pt_BR
dc.identifier.urihttp://hdl.handle.net/10183/214086pt_BR
dc.description.abstractLichen 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.en
dc.format.mimetypeapplication/pdfpt_BR
dc.language.isoengpt_BR
dc.relation.ispartofOpen Journal of Obstetrics and Gynecology. Irvine. Vol. 9, no. 6 (2019), p. 755-763pt_BR
dc.rightsOpen Accessen
dc.subjectLichen sclerosusen
dc.subjectLíquen escleroso e atróficopt_BR
dc.subjectDyspareuniaen
dc.subjectDispareuniapt_BR
dc.subjectCorticosteroidsen
dc.subjectCorticosteróidespt_BR
dc.subjectVulvectomiapt_BR
dc.subjectVulvectomyen
dc.subjectRelatos de casospt_BR
dc.titleThe effects of lichen sclerosus and its treatments on sexuality : case reportpt_BR
dc.typeArtigo de periódicopt_BR
dc.identifier.nrb001117345pt_BR
dc.type.originEstrangeiropt_BR


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