OJOG  Vol.4 No.3 , February 2014
Is it relevant a correct intimate cleansing in the treatment of vulvar dermatosis?
ABSTRACT

Background: Vulvar dermatoses are inflammatory disorders of genital skin causing itch, pain, dysuria and dyspareunia. Objective: To compare the efficacy of two intimate cleansers as adjuvants in the treatment of the two common vulvar dermatoses: Lichen sclerosus (LS) and lichen simplex chronicus (LSC). Method: 32 patients with the diagnosis of LS or LSC initially treated with Mometasone furoate 0.1% cream were then randomly assigned to receive either cleanser A (cleaner based on amigdalus dulcis, malva, jojoba oil, PCL solid, Hyaluronic acid) or cleanser B (cleaner based on Cocoyl Wtheat Amino Acids, Maltodextrins, Aveena sativa, Caprylic Glycol) twice a day in association with lanolin cream one application daily for 30 days, following which the lanolin cream was applied only when needed as a rescue treatment. The amount of the rescue cream used, rubbing, applicability and pleasantness of the product were classified before and after 60 days of treatment. Results: The differences between the two treatments for rubbing, applicability and pleasantness of the product were statistically non-significant, while “as needed” use of the emollient lanolin cream was significantly superior in a total number of doses in the B group versus the A group (8.25 vs 5.28 (P < 0.001). Conclusion: The parameters showed a high score for both the cleansers, demonstrating the acceptability of these products by the women. The best results of the cleaner A can be attributed to not only to the pool of moisturizing and emollient active ingredients but that of the soothing effects as well. This shows that the role of intimate cleanser is not only for vulval cleansing, but can also play a therapeutic role of moisturization and emollience.


Cite this paper
Murina, F. , Francesco, S. and Ratti, M. (2014) Is it relevant a correct intimate cleansing in the treatment of vulvar dermatosis?. Open Journal of Obstetrics and Gynecology, 4, 165-168. doi: 10.4236/ojog.2014.43027.
References
[1]   Powell, J.J. and Wojnarowska, F. (1999) Lichen sclerosus. Lancet, 353, 1777-1783.
http://dx.doi.org/10.1016/S0140-6736(98)08228-2

[2]   Murphy, R. (2010) Lichen sclerosus. Dermatologic Clinics, 28, 707-715. http://dx.doi.org/10.1016/j. det.2010.07.006

[3]   Goldstein, A.T., Marinoff, S.C., Christopher, K., et al. (2005) Prevalence of vulvar lichen sclerosus in a general gy-necology practice. The Journal of Reproductive Medicine, 50, 477-480.

[4]   Cooper, S.M., Ali, I., Baldo, M., et al. (2008) The association of lichen sclerosus and erosive lichen planus of the vulva with autoimmune disease: A case-control study. Archives of Dermatology, 144, 1432-1435. http://dx.doi.org/10.1001/archderm.144.11.1432

[5]   Regauer, S., Liegl, B., Reich, H., et al. (2004) Vulvar lichen sclerosus: The importance of early clinical and histo-logical diagnosis. Hautarzt, 55, 158-164. http://dx.doi.org/10.1007/s00105-003-0645-8

[6]   Lynch, P.J. (2004) Lichen simplex chronicus (atopic/ neurodermatitis) of the anogenital region. Dermatology and Therapy, 17, 8-19. http://dx.doi.org/10.1111/j.1396-0296.2004.04002.x

[7]   Burrows, L.J., Shaw, H.A. and Goldstein, A.T. (2008) The vulvar dermatoses. The Journal of Sexual Medicine, 5, 276-283. http://dx.doi.org/10.1111/j.1743-6109.2007.00703.x

[8]   Neill, S.M., Lewis, F.M., Tatnall, F.M. and Cox, N.H. (2010) British Association of Dermatologist’s guideline for the menagment of lichen slerosus 2010. British Journal of Dermatology, 163, 672-682.

[9]   Lagos, B.R. and Maibach, H.I. (1998) Frequency of application of topical corticosteroids: An overview. British Journal of Dermatology, 139, 763-766. http://dx.doi.org/10.1046/j.1365-2133.1998.02498.x

[10]   Ya-Xian, Z., Suetake, T. and Tagami, H. (1999) Number of cell layers of the stratum corneum in normal skin— Relation-ship to the anatomical location on the body, age, sex and physical parameters. Archives of Dermatological Research, 291, 555-559. http://dx.doi.org/10.1007/ s004030050453

 
 
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