The presence and severity of vaginal atrophy had been recorded

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A baseline pelvic examination was carried out to evaluate vulvar dermatoses, vaginal epithelium modifications, pelvic organ prolapse, urinary or anal incontinence, pelvic ground muscle power, and set off points. The presence and severity of vaginal atrophy had been recorded based mostly on examiner evaluation on a scale of 1 to 3, similar to delicate, average, and extreme modifications respectively. This classification was based on the degree of anatomical modifications within the genitalia which have been routinely utilized in our practice, as no validated tool has been developed so far. Similarly, the presence and severity of lichen sclerosus have been recorded based mostly on examiner evaluation on a scale of 1 to three, corresponding to mild, average viberators, and severe respectively. This classification was primarily based on the quantity of concerned skin, as no validated instruments have been developed to date, and it has been routinely utilized in our practice.

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