The Impact of Psychosexual Counseling in Women With Lichen Sclerosus: A Randomized Controlled Trial

Gitte Vittrup, Signe Westmark, Johannes Riis, Lisbeth Mørup, Tina Heilesen, Doris Jensen, Dorte Melgaard*

*Kontaktforfatter

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Abstrakt

INTRODUCTION: Lichen sclerosus (LS) can affect sexuality and quality of life (QoL).

OBJECTIVE: The aim of the study was to evaluate the impact of psychosexual counseling in women with LS.

MATERIALS AND METHODS: One hundred fifty-eight women 18 years or older, newly diagnosed with LS, and referred to North Denmark Regional Hospital from January 2018 to November 2019 were included. The women were randomized in a 1:1 ratio to usual care or an intervention group receiving usual care and up to 8 individual consultations with a specialist in sexual counseling. Spouses or partners were encouraged to participate. The women filled out the questionnaires Female Sexual Function Index (FSFI), Dermatology Life Quality Index, and the WHO-5 Well-Being Index at baseline and after 6 months.

RESULTS: The controls presented a mean score of 14.8 ± 8.7 and the intervention group presented a mean score of 12.8 ± 8.9 at FSFI. At follow-up, the controls had an FSFI score of 15.2 ± 9.2 and the intervention group revealed an FSFI score of 18.3 ± 9.5. Both groups experienced improved sexual functioning and for the intervention group the increase was significant (p < .001).At baseline, the Dermatology Life Quality Index mean score was 8.9 ± 5.6 for the control group and 9.3 ± 6.1 for the intervention group. At follow-up, the controls revealed a score of 8.6 ± 5.5 and the intervention group a score of 6.8 ± 5.8. The intervention group reached a significantly higher degree of QoL than the controls (p = .008).

CONCLUSIONS: Psychosexual counseling has a significant impact on sexual functioning and QoL in women with LS.

OriginalsprogEngelsk
TidsskriftJournal of lower genital tract disease
Vol/bind26
Udgave nummer3
Sider (fra-til)258-264
Antal sider7
ISSN1089-2591
DOI
StatusUdgivet - 1 jul. 2022

Bibliografisk note

Copyright © 2022 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the ASCCP.

Emneord

  • Counseling
  • Female
  • Humans
  • Lichen Sclerosus et Atrophicus
  • Quality of Life/psychology
  • Sexual Behavior
  • Surveys and Questionnaires

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