A systematic review of outcome measures evaluating treatment efficacy in vulval lichen sclerosus and evaluation of patients' priorities.

The FSFI, which evaluates patients' feelings about various aspects of their sexual function including desire, subjective arousal, lubrication, orgasm, satisfaction and pain was validated in a study including 131 control patients and 128 age‐matched women with sexual arousal disorder and was found to have a high degree of internal consistency (Cronbach's alpha 0.82 and above) and satisfactory construct validity demonstrated by highly significant mean difference scores between the control and experimental groups. 34 The FSDS, which assesses anxiety, guilt, frustration and distress caused by sexual dysfunction was validated by Derogatis et al. and found to have a high degree of internal consistency and test–retest reliability, with a high degree of discriminative ability to distinguish between sexually dysfunctional and functional women. 33 These tools can be used in conjunction to comprehensively evaluate the physical and psychological aspects of patients' sexual dysfunction caused by VLS.

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