{"id":6862,"date":"2025-01-15T15:58:34","date_gmt":"2025-01-15T14:58:34","guid":{"rendered":"https:\/\/www.dexeus.com\/midlife\/2025\/01\/15\/que-saps-del-liquen-vulvar\/"},"modified":"2025-11-14T12:07:32","modified_gmt":"2025-11-14T11:07:32","slug":"liquen-vulvar","status":"publish","type":"post","link":"https:\/\/www.dexeus.com\/midlife\/ca\/liquen-vulvar\/","title":{"rendered":"Qu\u00e8 saps del liquen vulvar?"},"content":{"rendered":"\n

D\u2019entrada, \u00e9s possible que el nom et sorprengui, per\u00f2 no es tracta de cap fong ni est\u00e0 relacionat amb la microbiota vaginal. El liquen vulvar<\/a> \u00e9s una afecci\u00f3 de la pell<\/strong> que sol afectar la zona dels genitals. Existeixen tres tipus diferents: el liquen simple<\/strong>, el liquen escler\u00f3s<\/strong> i el liquen pla<\/strong>. El primer \u00e9s una dermatosi cr\u00f2nica que es produeix a causa del gratat o frec repetitiu de la pell. Els altres dos s\u00f3n dermatosis inflamat\u00f2ries de causa desconeguda i poden afectar dones de qualsevol edat.<\/p>\n\n

Fins fa uns anys, era una patologia que no es coneixia molt b\u00e9, per\u00f2 actualment s\u00ed i \u00e9s possible aconseguir un bon control dels s\u00edmptomes si s\u2019aplica el tractament adequat.<\/p>\n\n

Import\u00e0ncia del diagn\u00f2stic<\/h2>\n\n

El problema \u00e9s que, sovint, es triga a fer <\/strong>el diagn\u00f2stic perqu\u00e8 els s\u00edmptomes s\u00f3n bastant inespec\u00edfics i no sempre es consulta. No obstant, \u00e9s important diagnosticar-la com m\u00e9s aviat millor, ja que pot provocar un aprimament de la pell i afavorir l\u2019aparici\u00f3 fissures<\/strong>, mol\u00e8sties en la micci\u00f3, p\u00e8rdua de sensibilitat<\/strong> en les relacions sexuals i fins i tot canvis anat\u00f2mics<\/strong>. La ra\u00f3 \u00e9s que la pell dels llavis menors es torna cada vegada m\u00e9s fina, de manera que pot donar la sensaci\u00f3 que aquests es fusionen o desapareixen i provocar canvis estructurals. Per aix\u00f2 \u00e9s important fer-se revisions ginecol\u00f2giques de control de manera regular i acudir al ginec\u00f2leg al menor s\u00edmptoma. Per\u00f2 com es detecta?<\/strong> I hi ha algun s\u00edmptoma que serveixi d\u2019alerta?<\/strong><\/p>\n\n

La Doctora Nuria Li<\/a><\/strong>, ginec\u00f2loga del nostre centre i especialista en Patologia Cervical o del tracte genital inferior, respon aquestes preguntes i altres dubtes freq\u00fcents sobre aquest problema.<\/p>\n\n

Qu\u00e8 la provoca?<\/h2>\n\n

En realitat, no se’n coneix la causa exacta. Es creu que pot tenir un origen multifactorial: gen\u00e8tic, immunol\u00f2gic, hormonal\u2026. S\u2019han descrit alguns casos que indiquen una predisposici\u00f3 familiar (mares-filles, germanes, etc.) i en algunes dones s\u2019associa a d\u2019altres malalties autoimmunes. Per\u00f2 l\u2019origen no \u00e9s infecci\u00f3s, \u00e9s una dermatosis inflamat\u00f2ria.<\/p>\n\n

Quins s\u00edmptomes poden alertar-nos?<\/h2>\n\n

Els s\u00edmptomes s\u00f3n bastant inespec\u00edfics, encara que el principal sol ser la picor vulvar, que pot anar acompanyada d\u2019una sensaci\u00f3 d\u2019ardor, co\u00efssor o irritaci\u00f3. Sovint es presenta cap al vespre (al final del dia) i si la picor \u00e9s intensa pot arribar a interferir en la son. Si persisteixen els s\u00edmptomes poden produir mol\u00e8sties o dolor en les relacions sexuals i aparici\u00f3 de fissures. Amb el temps tamb\u00e9 es pot veure alterada la sensibilitat en la zona vulvar. Podem trobar canvis cutanis com a taques irregulars, pell m\u00e9s fina i p\u00e0l\u00b7lida, tornant-se m\u00e9s fr\u00e0gil i m\u00e9s prima. El liquen escler\u00f3s tamb\u00e9 pot afectar la zona anal i a d\u2019altres parts del cos, com l\u2019esquena, les espatlles, la part superior dels bra\u00e7os i el pit.<\/p>\n\n

\u00c9s contagiosa?<\/h2>\n\n

No. La malaltia no es contagia pel contacte ni per mantenir relacions sexuals o compartir tovalloles.<\/p>\n\n

Pots tenir-la a qualsevol edat?<\/h2>\n\n

S\u00ed, encara que \u00e9s m\u00e9s freq\u00fcent despr\u00e9s de la menopausa. El liquen escler\u00f3s pot apar\u00e8ixer en la prepubertat (abans de la primera regla) i en la transici\u00f3 cap a la menopausa. Aquest fet fa pensar que pot tenir alguna relaci\u00f3 amb factors hormonals. El liquen pla, en canvi, afecta principalment a dones en la menopausa.<\/p>\n\n

Com s\u2019estableix el diagn\u00f2stic?, cal fer-se algun test o prova especial?<\/h2>\n\n

En general el diagn\u00f2stic \u00e9s cl\u00ednic mitjan\u00e7ant l\u2019exploraci\u00f3 f\u00edsica, per\u00f2 sempre \u00e9s important acudir a un centre amb equip m\u00e8dic especialitzat en patologia vulvar. En alguns casos pot ser necessari fer una bi\u00f2psia.<\/p>\n\n

Quines solucions hi ha?<\/h2>\n\n

El tractament de primera elecci\u00f3 \u00e9s l\u2019\u00fas de corticoides d\u2019aplicaci\u00f3 t\u00f2pica (en forma de cremes o pomades) i hidratants vulvars en forma de gel, crema o oli. En algunes ocasions tamb\u00e9 pot ser necessari aplicar un tractament estrog\u00e8nic local.<\/p>\n\n

Des de fa uns anys, existeixen tractaments alternatius enfocats a la regeneraci\u00f3 del teixit, que poden servir de segona l\u00ednia o que poden complementar als tractaments de primera l\u00ednia. En el nostre centre comptem amb una Unitat especialitzada en Ginecologia regenerativa i Funcional on s\u2019apliquen aquests tractaments i que ofereixen molt bons resultats, com poden ser la carboxiterapia<\/a>, el l\u00e0ser<\/a> o el Plasma Ric en Plaquetes (PRP)<\/a> que es pot combinar amb \u00e0cid hialur\u00f2nic.<\/p>\n\n

Cal fer seguiment?<\/h2>\n\n

S\u00ed, \u00e9s necessari realitzar un control peri\u00f2dic, ja que es tracta d\u2019una dermatosis cr\u00f2nica i que pot tenir un curs fluctuant amb aparici\u00f3 de brots en el temps i que requereixin modificar la pauta de tractament. A m\u00e9s, un mal control pot constituir un factor de risc per a l\u2019aparici\u00f3 de lesions precursores de c\u00e0ncer de vulva.<\/p>\n\n

T\u00e9 cura?<\/h2>\n\n

No t\u00e9 cura, per\u00f2 s\u00ed que \u00e9s possible frenar la seva evoluci\u00f3 i controlar els s\u00edmptomes. En general, si es controla b\u00e9, es pot fer una vida completament normal.<\/p>\n","protected":false},"excerpt":{"rendered":"

D\u2019entrada, \u00e9s possible que el nom et sorprengui, per\u00f2 no es tracta de cap fong ni est\u00e0 relacionat amb la microbiota vaginal.
El liquen vulvar \u00e9s una afecci\u00f3 de la pell que sol afectar la zona dels genitals.<\/p>\n","protected":false},"author":1,"featured_media":6167,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[45],"tags":[],"class_list":["post-6862","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-menopausa-zona-intima"],"yoast_head":"\nQu\u00e8 saps del liquen vulvar? - Dexeus Midlife<\/title>\n<meta name=\"description\" content=\"D\u2019entrada, \u00e9s possible que el nom et sorprengui, per\u00f2 no es tracta de cap fong ni est\u00e0 relacionat amb la microbiota vaginal. 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