{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T00:26:51Z","timestamp":1790641611846,"version":"4.1.0"},"reference-count":51,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2024,8,11]],"date-time":"2024-08-11T00:00:00Z","timestamp":1723334400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,8,11]],"date-time":"2024-08-11T00:00:00Z","timestamp":1723334400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100000269","name":"Economic and Social Research Council","doi-asserted-by":"publisher","award":["ES\/T005939\/1"],"award-info":[{"award-number":["ES\/T005939\/1"]}],"id":[{"id":"10.13039\/501100000269","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Health (London)"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:p>Vulval lichen sclerosus (LS) is a chronic dermatological condition affecting the anogenital area, causing intense itching, pain and bleeding. It can change the terrain of the vulva, causing loss of vulval anatomy and altered texture and appearance of the skin. There has been little research into how women experience the materialities of a dermatological vulval disease. We aimed to understand experiences of living with LS, using a feminist lens to examine the influence of societal attitudes towards women\u2019s bodies and the vulva. We conducted qualitative interviews with 20 women with vulval LS, taking a critical feminist grounded theory approach. While we found that women\u2019s experiences of vulval LS symptoms was normalised as a part of womanhood, there was a silencing of speech about the vulva generally, and vulval symptoms more specifically. This caused profound shame and loneliness, and was a barrier to disclosing and seeking help for vulval symptoms, leading to delayed diagnosis and disease progression. Loss of vulval architecture resulted in a loss of (feminine) self and the sense of a body which was whole.<\/jats:p>","DOI":"10.1177\/13634593241271041","type":"journal-article","created":{"date-parts":[[2024,8,12]],"date-time":"2024-08-12T02:01:11Z","timestamp":1723428071000},"page":"355-372","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":12,"title":["Loss, shame and secrecy in women\u2019s experiences of a vulval skin condition: A qualitative study"],"prefix":"10.1177","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4399-2049","authenticated-orcid":false,"given":"Sophie","family":"Rees","sequence":"first","affiliation":[{"name":"University of Bristol Medical School, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susanne","family":"Arnold","sequence":"additional","affiliation":[{"name":"University of Warwick Medical School, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,8,11]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-1-4419-7113-5"},{"key":"e_1_3_3_3_1","doi-asserted-by":"publisher","DOI":"10.4324\/9780203825259"},{"key":"e_1_3_3_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jana.2009.07.004"},{"key":"e_1_3_3_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12905-021-01223-6"},{"key":"e_1_3_3_6_1","doi-asserted-by":"publisher","DOI":"10.1080\/03630242.2017.1306606"},{"key":"e_1_3_3_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/jsm.13052"},{"key":"e_1_3_3_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsxm.2016.04.072"},{"key":"e_1_3_3_9_1","doi-asserted-by":"publisher","DOI":"10.1017\/9781108394673.003"},{"key":"e_1_3_3_10_1","volume-title":"One in five women with a vulval health condition contemplate self-harm or suicide","author":"British Association of Dermatologists","year":"2015","unstructured":"British Association of Dermatologists (2015) One in five women with a vulval health condition contemplate self-harm or suicide. 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