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Vulvar Dermatoses: A Primer for the Sexuality Specialist
Description: Vulvar dermatoses, including lichen sclerosus, lichen planus, lichen simplex chronicus, psoriasis and contact dermatitis are common dermatologic conditions that affect the vulva and often cause chronic irritation, pruritus and burning Vulvar dermatoses can cause chronic pain, itching, and dyspareunia and can have a profound effect on a woman's sexual expression and comfort. Delay in diagnosis is often due to hesitancy to seek treatment on the part of the patient or delay in biopsy on the part of the provider. This can result in a myriad of failed prescriptive and self-treatment measures, worsening symptoms and frustration for the patient and an increased likelihood for the development of squamous cell carcinoma. It is imperative for sexual medicine providers, who commonly treat women with vulvar concerns, to be familiar with the presentation, diagnosis and treatment of common vulvar dermatoses. The aim of this workshop is to provide an updated review of benign vulvar dermatologic conditions that can dramatically impact sexual expression , discussing medical and behavior management that facilitates comfortable intimacy.
Objective(s): At the conclusion of this workshop, participants will be able to: list 4 nonprescription interventions that can be suggested to couples who wish to be physically intimate that will protect the integrity of vulvar tissues and minimize exacerbation of lichenoid symptoms while maximizing sexual pleasure.