Exploring Hygienic Behaviors and Vulvodynia.
Exploring Hygienic Behaviors and Vulvodynia.
复制标题
探索卫生行为和外阴痛。
DOI：
10.1097/lgt.0000000000000477
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发表时间：
2019
影响因子：
3.7
通讯作者：
Harlow,BernardL
中科院分区：
文献类型：
--
作者：
Klann,AlexandraM;Rosenberg,Jessica;Wang,Tanran;Parker,SamanthaE;Harlow,BernardL
目的外阴疼痛是一种常见的外阴不适和疼痛的症状。然而，很少有研究评估卫生习惯与发病的关系。我们调查了卫生行为是否与vulvodynia.Materials和MethodsWe的发病有关，我们评估了自我报告的个人卫生行为史，包括穿着紧身衣，外阴护理和生殖器清洗，阴毛去除，冲洗，和扑粉，在213例临床确诊病例中首次报告外阴疼痛发作前一年，在221例普通人群中的时间段相似结果与从不穿紧身牛仔裤或裤子的女性相比，每周穿紧身牛仔裤或裤子4次或更多次的女性发生外阴痛的几率是从不穿紧身牛仔裤或裤子的女性的两倍（95%CI = 1.14-3.95）。相对于对照组，外阴疼痛的女性报告使用肥皂和凝胶清洁外阴的可能性大大降低（95% CI= 0.17-0.63）。在选择去除阴毛的女性中，从阴阜去除阴毛的女性与仅去除比基尼区域的女性相比，患外阴痛的可能性高74%（95%CI = 1.05-2.89）。最后，与那些报告比基尼区脱毛少于每月的妇女相比，那些每周或每周以上从阴阜脱毛的妇女患外阴痛的可能性增加了近2倍（95%CI = 0.83-3.49）。研究卫生习惯如何影响外阴疼痛在更大的和更多的时间解决的人群是必要的。
ObjectivesVulvodynia is common and characterized by vulvar discomfort and pain. However, few studies have assessed hygienic practices in relation to onset. We investigated whether hygienic behaviors were associated with the onset of vulvodynia.Materials and MethodsWe assessed a self-reported history of personal hygienic behaviors, including wearing tight-fitting clothing, vulva care and genital washing, pubic hair removal, douching, and powdering, a year before first reported onset of vulvar pain among 213 clinically confirmed cases and a similar time period among 221 general population controls.ResultsCompared with women who reported never wearing tight-fitting jeans or pants, women wearing tight-fitting jeans or pants 4 or more times per week had twice the odds of vulvodynia (95% CI= 1.14–3.95). Relative to controls, women with vulvodynia were substantially less likely to report use of soaps and gels to cleanse the vulva (95% CI= 0.17–0.63). Among women who chose to remove pubic hair, those who removed pubic hair from the mons pubis compared with bikini-area only hair removal, were 74% more likely to have vulvodynia (95% CI= 1.05–2.89). Finally, compared with women who reported bikini-area only hair removal less than monthly, those who removed hair from the mons pubis weekly or more were nearly 2 times more likely to be vulvodynia cases (95% CI= 0.83–3.49).ConclusionsWearing tight-fitting jeans or pants and removing hair from the mons pubis area were associated with increased odds of vulvodynia. Research on how hygienic practices could influence vulvar pain in larger and more temporally addressed populations is warranted.