By Kevan R. Wylie
ABC of Sexual Health presents a complete evaluation of this significant, yet tough topic and contains analyzing assets in addition to details on specialist societies, sufferer teams and on-line resources.
Fully revised and elevated to hide various new content material and issues together with mental, urological, gynaecological, endocrinological and psychiatric points of sexual wellbeing and fitness, the consequences of medicine, sexual disorder, sexual orientation, gender identification, paraphilias, forensic sexology, dermatoses, and psychosexual remedy and education.
ABC of Sexual Health is a realistic advisor for all basic practitioners, relations physicians, trainees and scientific scholars eager to enhance speaking, studying and handling sufferers with sexual illnesses.
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Extra info for ABC of Sexual Health
2008) The Male Genitalia: a Clinician’s Guide to Skin Problems and Sexually Transmitted Infections. Radcliffe, Oxford. , Wylie, K. & Muir, G. (2014) Beliefs about penis size: validation of a scale for men with shame about the size of their penis. Journal of Sexual Medicine, 11, 84–92. CHAPTER 8 Female Dermatoses Ruth Murphy Nottingham University Teaching Hospitals, Nottingham, UK OVERVIEW • Female genital dermatoses are common and are frequently incorrectly diagnosed as candida albicans • Simple care of the vulva, avoiding fragranced wash products and washing with emollients instead of soap will help most vulval dermatoses • Dermatoses may predominantly affects the vulval region such as lichen sclerosus • Common skin conditions may also affect the vulval region such as dermatitis and psoriasis • Common over-the-counter products such as local anaesthetic creams and feminine hygiene products may cause allergic contact dermatitis.
11. Lichen planus Lichen planus is a common inflammatory dermatosis that often affects the genitals in both men and women. The cause is unknown and the disease is usually self-limiting. Typically, the rash is symmetrical and itchy/burning. 12). Lichen planus usually responds to topical steroids, although treatment may need to be prolonged. Erosive genital disease rarely responds to anything other than circumcision. 11 Psoriasis management • Symptoms Mouth and genitals Nails Clinical features Flat-topped purple/ white shiny papules and plaques with lacy surface (Wickham’s striae) May be discrete or conﬂuent, Koebnerise Non-speciﬁc balanitis, discrete lesions, annular lesions on penis.
Lesions may be acute, chronic or acute-on-chronic. The predominant symptom is of itch. Rashes may be red, scaly and excoriated when acute or lichenified and pigmented when chronic. Problems may be exacerbated by secondary bacterial, fungal or yeast infection. g. g. longstanding atopic eczema) Pain, burning, itching Chronic itch especially at night, burning, pain Signs Erythema, localized swelling of skin, vesicles, exudation, paraphimosis Excoriations, licheniﬁed skin, nodules (especially on scrotum), often evidence of eczema elsewhere on the body Psoriasis Psoriasis affects at least 2% of the UK and US populations.