(028) A Comparison of Genital Self-Image and Sexual Functioning among Women with Vulvar and Non-Vulvar Dermatologic Disease

Abstract Introduction Inflammatory dermatologic diseases of the vulva represent a significant morbidity burden for affected women. Genital itching, pain, and skin changes have profound impact on sexual function. Research also suggests women with generalized, non-vulvar impaired The Female Self-Image Scale (FGSIS) was developed validated in large sample American decade ago. Despite developers’ suggestion that FGSIS could be used to further understand genital disease, there remains paucity research this area. Both vulvar inflammatory disease yet fully characterized regards self-image (GSI), key mediator health behavior. Objectives present study describes GSI, function, behaviors among dermatoses. Methods A 20-minute Qualtrics survey distributed between September November 2020 through three primary means: 1) targeted social media ads, 2) relevant support groups, 3) online volunteer recruitment services. Women US over age 18 who ever been diagnosed an dermatosis persisting longer than one month were eligible participate. data collected as part larger examining health, quality life, care experiences disease. Survey items analyzed included FGSIS, Sexual Function Index (FSFI), behavior histories. Results consisted 320 mean 42.7±15.5 (Range=19-81). Most participants pre-menopausal (n=200; 62.5%), Caucasian (n=278; 86.9%), heterosexual (n=263; 82.2%). Nearly one-third (n=98; 30.6%) reported isolated vulva, while 150 (46.9%) had strictly 72 (22.5%) experienced both manifestations. average score any 16.9±4.1 (range=7-28) significantly (p<.01) lower (M=21.2±4.3; range=9-28), higher indicating more positive FGSIS. similar trend seen FSFI, which different (M=15.4±9.7, range=2.0-35.1) compared (M=21.2±10.1, range=2.0-35.1), scores better functioning. When stratified by category, FSFI remained desire (p=.04) pain (p<.01), but not arousal, lubrication, orgasm, or satisfaction. less likely receive (p=.02) give oral sex engage vaginal intercourse during last four weeks. Conclusions This demonstrates severe associated dermatoses, very low scores. Pain shaped function despite non-significant differences other domains including indicated previously-described healthy controls. precise understanding role GSI will provide opportunities improved patient-centered management realm health. Disclosure No.