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A baseline pelvic examination was carried out to gauge vulvar dermatoses, vaginal epithelium adjustments, pelvic organ prolapse, urinary or anal incontinence, pelvic flooring muscle energy, and trigger points. The presence and severity of vaginal atrophy were recorded primarily based on examiner evaluation on a scale of 1 to three, similar to delicate, moderate, and severe modifications respectively. This classification was based mostly on the diploma of anatomical modifications in the genitalia which were routinely utilized in our follow, as no validated device has been developed thus far. Similarly, the presence and severity of lichen sclerosus were recorded based on examiner evaluation on a scale of 1 to three, corresponding to delicate, reasonable, and extreme respectively. This classification was based mostly on the amount of concerned skin, as no validated instruments have been developed thus far, and it has been routinely used in our follow.
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