Clinico-epidemiological Profile of Women with Non-venereal Vulval Diseases: A Hospital-based Observational Study

Intorduction: Vulval disorders can be of venereal and non-venereal etiology. Establishing non-venereal causation of vulval disorder helps in alleviating fears in patients with the condition. These patients are better dealt in a multidisciplinary clinic as patients with these disorders frequently vi...

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Main Authors: Smita Joshi, Shristi Shrestha, Anshumala Joshi
Format: Article
Language:English
Published: Society of Dermatologists, Venereologists and Leprologists of Nepal (SODVELON) 2019-03-01
Series:Nepal Journal of Dermatology, Venereology & Leprology
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Online Access:https://www.nepjol.info/index.php/NJDVL/article/view/23250
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author Smita Joshi
Shristi Shrestha
Anshumala Joshi
author_facet Smita Joshi
Shristi Shrestha
Anshumala Joshi
author_sort Smita Joshi
collection DOAJ
description Intorduction: Vulval disorders can be of venereal and non-venereal etiology. Establishing non-venereal causation of vulval disorder helps in alleviating fears in patients with the condition. These patients are better dealt in a multidisciplinary clinic as patients with these disorders frequently visit dermatologists and gynecologists for the treatment. Objectives: To study the clinico-demographic profile of women with non-venereal vulval disorders and to determine their relative frequency. Materials and Methods: This is an observational, descriptive study done at the Departments of Dermatology and Venereology and Gynecology and Obstetrics, Nepal Medical College Teaching Hospital. All consenting female patients with problems pertaining to female external genitalia were recruited for the study after excluding venereal diseases. Details of the patients were obtained and entered in a predesigned proforma. Results: Seventy-five females were recruited during a period of 20 months with a mean age of 34.79±17.90 years. Majority were married, uneducated and homemakers. Duration of disease ranged from 3 days to 35 years. Itching was the commonest presenting complaint (82.67%) followed by redness (32.00%), burning sensation (26.67%), white lesions (24.00%) and pain (24.00%). Commonest diagnosis was lichen sclerosus (17.33%), followed by candidiasis (14.67%). Patients presenting with vulval symptoms without lesions were diagnosed with non-specific vulval pruritus (9.33%) and vulvodynia (2.67%). Conclusion: Itching is the most common presenting complaint and contrary to the popular belief, inflammatory disorders especially lichen sclerosus, rather than infections were common diagnoses in females with non-venereal vulval disorders.
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spelling doaj-art-cb07ca36e60a41f9b96124b2f9532a4c2025-08-23T10:04:32ZengSociety of Dermatologists, Venereologists and Leprologists of Nepal (SODVELON)Nepal Journal of Dermatology, Venereology & Leprology2091-02312091-167X2019-03-0117110.3126/njdvl.v17i1.23250Clinico-epidemiological Profile of Women with Non-venereal Vulval Diseases: A Hospital-based Observational StudySmita Joshi0https://orcid.org/0000-0002-1222-9916Shristi Shrestha1https://orcid.org/0000-0002-3395-7824Anshumala Joshi2https://orcid.org/0000-0002-9621-0779Nepal Medical College Teaching Hospital, Attarkhel Gokarneshwor, KathmanduNepal Medical College, Attarkhel, KathmanduNepal Medical College, Attarkhel, Kathmandu Intorduction: Vulval disorders can be of venereal and non-venereal etiology. Establishing non-venereal causation of vulval disorder helps in alleviating fears in patients with the condition. These patients are better dealt in a multidisciplinary clinic as patients with these disorders frequently visit dermatologists and gynecologists for the treatment. Objectives: To study the clinico-demographic profile of women with non-venereal vulval disorders and to determine their relative frequency. Materials and Methods: This is an observational, descriptive study done at the Departments of Dermatology and Venereology and Gynecology and Obstetrics, Nepal Medical College Teaching Hospital. All consenting female patients with problems pertaining to female external genitalia were recruited for the study after excluding venereal diseases. Details of the patients were obtained and entered in a predesigned proforma. Results: Seventy-five females were recruited during a period of 20 months with a mean age of 34.79±17.90 years. Majority were married, uneducated and homemakers. Duration of disease ranged from 3 days to 35 years. Itching was the commonest presenting complaint (82.67%) followed by redness (32.00%), burning sensation (26.67%), white lesions (24.00%) and pain (24.00%). Commonest diagnosis was lichen sclerosus (17.33%), followed by candidiasis (14.67%). Patients presenting with vulval symptoms without lesions were diagnosed with non-specific vulval pruritus (9.33%) and vulvodynia (2.67%). Conclusion: Itching is the most common presenting complaint and contrary to the popular belief, inflammatory disorders especially lichen sclerosus, rather than infections were common diagnoses in females with non-venereal vulval disorders. https://www.nepjol.info/index.php/NJDVL/article/view/23250Lichen Sclerosus et AtrophicusPruritus VulvaeVulvodynia
spellingShingle Smita Joshi
Shristi Shrestha
Anshumala Joshi
Clinico-epidemiological Profile of Women with Non-venereal Vulval Diseases: A Hospital-based Observational Study
Nepal Journal of Dermatology, Venereology & Leprology
Lichen Sclerosus et Atrophicus
Pruritus Vulvae
Vulvodynia
title Clinico-epidemiological Profile of Women with Non-venereal Vulval Diseases: A Hospital-based Observational Study
title_full Clinico-epidemiological Profile of Women with Non-venereal Vulval Diseases: A Hospital-based Observational Study
title_fullStr Clinico-epidemiological Profile of Women with Non-venereal Vulval Diseases: A Hospital-based Observational Study
title_full_unstemmed Clinico-epidemiological Profile of Women with Non-venereal Vulval Diseases: A Hospital-based Observational Study
title_short Clinico-epidemiological Profile of Women with Non-venereal Vulval Diseases: A Hospital-based Observational Study
title_sort clinico epidemiological profile of women with non venereal vulval diseases a hospital based observational study
topic Lichen Sclerosus et Atrophicus
Pruritus Vulvae
Vulvodynia
url https://www.nepjol.info/index.php/NJDVL/article/view/23250
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AT shristishrestha clinicoepidemiologicalprofileofwomenwithnonvenerealvulvaldiseasesahospitalbasedobservationalstudy
AT anshumalajoshi clinicoepidemiologicalprofileofwomenwithnonvenerealvulvaldiseasesahospitalbasedobservationalstudy