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Re: Lichen Sclerosis From: Joanne Bulley, MD (islesannie@yahoo.com) Wed Nov 30 22:13:56 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Joanne Bulley, MD: "Re: Vaginal Sterilization" Previous message: Joanne Bulley, MD: "Re: homebirth conversation" In reply to: Karen Lee: "Lichen Sclerosis" Without seeing the patient - this seems like something I use Estrace (17Betaestradiol cream) for. I start with a pea to lima bean size dab that she massages in 1-2 times dailly for 2 weeks then taper slowly to 1-3 doses per week. See her back in 3-5 weeks or whatever your pleasure. sounds like plain old hypo-estrogen atrophy. Joanne At Wed, 30 Nov 2005, Karen Lee wrote: > >Help... >All the literature that I have read states that >itching is the primary Sx of LS and that has been >my experience too. I have a patient with the >appearance of LS...pallor, thin tissue, >interlabial agglutination...but her only Sx is >pain when urine or water touches this area, which >in her case is perineum and perianal. Are most of >you using clobetasol? Anyone still using >testosterone proprianate in petrolatum? Do you >think one might be better than the other >considering her Sx? Bx report is not back, but >with 30 years of experience I'd bet my power exam >table it's LS. > >-- >Karen Lee, ARNP >OB/GYN Nurse Practitioner >Certified Menopause Practitioner >Mount Vernon, WA >http://www.menopausematters.org >"Courage is the opposite of the instinct to keep >everything under control. It is against inertia >and death, toward intensity and life. The little >courages of life add up to big courage over time. > >Resist the offers of small safe quarters in your >mind." > >*****HIPAA Confidentiality Notice***** > >The documents inside this electronic transmission > >contain confidential information belonging to the > >sender that is legally privileged. If you >received this electronic transmission in error, >please >notify the sender immediately to arrange for >return. > >Delete Reply Forward > Move... > -- Joanne Bulley, MD Keene, NH, USA "Love is indescribable and unconditional. I could tell you a thousand things that it is not, but not one that it is." — Duke Ellington, American jazz artist (1899-1974). Next message: Joanne Bulley, MD: "Re: Vaginal Sterilization" Previous message: Joanne Bulley, MD: "Re: homebirth conversation" In reply to: Karen Lee: "Lichen Sclerosis"

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