阴道粘膜下富血小板血浆联合非交联透明质酸注射对霍奇金淋巴瘤幸存者性交困难和性满意度的影响:1例报告

Q4 Medicine
Salma Samir Omar, Khaled F. Elmulla, Noran Abo Khadr, Ahmed Ashour Badawy, Eman Nabih Ramadan, Ahmed Hassouna, Lamia Heikal, Waleed Arafat
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引用次数: 0

摘要

阴道萎缩是年轻癌症幸存者中常见的问题。由于雌激素缺乏,患者会出现阴道干燥、刺激和性交困难。基于雌激素的激素替代疗法是有效的,但不幸的是,癌症幸存者的健康问题或禁忌症经常限制其使用。一位35岁的女性患者性交困难,明显影响了她的性关系,被转介到妇科诊所。使用外用雌激素乳膏和性咨询治疗均不成功。我们对她进行了两次粘膜下注射prp -非交联透明质酸,注射到前庭和阴道前壁粘膜的下三分之一,间隔一个月。第二次注射后1个月,患者报告性交困难明显减轻,FSFI总分改善。患者和她的丈夫在第二次注射后一个月的性满意度评分与治疗前评分相比均有改善。阴道粘膜检查显示粘膜厚度和完整性改善,润滑增加。prp -非交联透明质酸粘膜下注射可有效治疗与癌症治疗相关的阴道萎缩,性交相关的疼痛和性满足。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Impact of vaginal submucosal platelet-rich plasma combined with non-cross-linked hyaluronic acid injections on dyspareunia and sexual satisfaction in a Hodgkin lymphoma cancer survivor: a case report
Vaginal atrophy is a commonly encountered problem among young cancer survivors. Patients suffer from vaginal dryness, irritation, and dyspareunia secondary to oestrogen deficiency. Oestrogenbased hormone replacement therapy is effective, but unfortunately health concerns or contraindications in cancer survivors frequently limit its use. A 35-year-old female patient with dyspareunia that markedly affected her sexual relationship was referred to the gynaecology clinic. Treatment using topical oestrogen cream and sexual counselling were not successful. We treated her using two submucosal injections of PRP-non-cross-linked hyaluronic acid injections into the vestibule and lower third of the anterior vaginal wall mucosa, spaced a month apart. The patient reported marked reduction of dyspareunia and demonstrated an improvement of FSFI total score 1 month after the second injection. Both the patient and her husband showed an improvement of the index of sexual satisfaction score one month after the second injection compared to their pretreatment scores. Examination of the vaginal mucosa showed improvement of thickness and integrity of the mucosa and increased lubrication. PRP-non-cross-linked hyaluronic acid submucosal injections can be effective for cancer therapy-related vaginal atrophy, coitus-related pain, and sexual satisfaction.
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来源期刊
Urogynaecologia International Journal
Urogynaecologia International Journal Medicine-Obstetrics and Gynecology
CiteScore
0.20
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发文量
10
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