Thanks
Gynaecologist, Gynaecologist - Infertility (IVF) Specialist, Obstetrician
Lichen Sclerosus (LS) is a diagnosis based on symptoms, appearance of the vulva, and confirmed with a vulval biopsy. Firstly, did you have a proper examination by a gynaecologist and did you have a biopsy to confirm the diagnosis?
My recommendation would be to see a gynaecologist urgently who will do a proper examination and obtain biopsies to confirm the diagnosis. The treatment for LS is a potent topical corticosteroid cream such as Diprosone (Betamethasone). This is to be applied for a 12 week period; nightly for 4 weeks, every other night for 4 weeks, then twice weekly for 4 weeks. This should treat the condition.
In regards to the ovestin cream, its oestrogen content is low and the absorption rate into your system is very low. It is not the same as taking a tablet and having a patch on. Therefore I still prescribe it to patients suffering from a dry vagina. There is enough evidence in the literature now that proves its safety in women with a strong family history of breast cancer. You can also discuss this with a gynaecologist.
So to answer your question, go see a gynaecologist for help.
I hope it works out for you.
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Thank you so much for taking the time to answer my query. Fortunately, I have been able to finally avail myself of help from a well informed Gyneacologist who specializes in this problem!! We now have a plan of action, and things are settling down beautifully. The situation regarding Ovestin etc, has been sorted and I now have the appropriate medication. I was diagnosed by a Gyneacologist years ago, but no follow up or explanation given. I have had a biopsy performed - indicative but not conclusive - it's been a long, lonely road, but finally I'm getting there.
Once again a big Thank You for your time and expertise, it's very reassuring.
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