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Attitudes Toward Proactive Topical Corticosteroid Use Among Women With Vulval Lichen Sclerosus.
Rees, Sophie; Arnold, Susanne; Kherlopian, Ashod; Fischer, Gayle.
Afiliação
  • Rees S; Bristol Trials Centre, University of Bristol, Bristol, UK.
  • Arnold S; Warwick Clinical Trials Unit, University of Warwick, Coventry, UK.
  • Kherlopian A; Sydney Medical School, University of Sydney, Sydney, Australia.
  • Fischer G; Sydney Medical School, University of Sydney, Sydney, Australia.
J Low Genit Tract Dis ; 28(2): 183-188, 2024 Apr 01.
Article em En | MEDLINE | ID: mdl-38518216
ABSTRACT

OBJECTIVES:

Some practitioners are adopting proactive topical corticosteroid (TCS) therapy for vulval lichen sclerosus (VLS). We sought to understand patient attitudes toward proactive TCS therapy for VLS in a context in which proactive therapy is adopted.

METHODS:

Four online focus group discussions with 12 participants. Data analysis was informed by social constructionist grounded theory.

RESULTS:

All participants had accepted a proactive regimen. Three themes were developed from the

analysis:

"Coming to accept proactive therapy," "Motivators to maintaining a proactive regimen," and "The importance of a routine that fits me." Within each theme are subthemes illustrating different dimensions of the theme.

CONCLUSIONS:

Accepting proactive TCS therapy for VLS requires incorporating regular TCS use into a patient's identity, unlearning previous understandings regarding the safety of long-term TCS use, and adopting a regimen that fits within patients' lives and minimizes the loss of autonomy.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Líquen Escleroso e Atrófico / Fármacos Dermatológicos / Líquen Escleroso Vulvar Limite: Female / Humans Idioma: En Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Líquen Escleroso e Atrófico / Fármacos Dermatológicos / Líquen Escleroso Vulvar Limite: Female / Humans Idioma: En Ano de publicação: 2024 Tipo de documento: Article