Re: Treatment for lichen sclerosus et atrophicus

From: mark decker (mdecker@nconnect.net)
Thu May 2 04:35:18 1996


the treatment for lichen sclerosis is 2% testosterone cream. I tell patients to apply it to the affected area bid for a week,,once weekly after that for one to two weeks thnen once daily or less as needed to keep it in check .. to keep the symptoms down. some need to use it daily. most can go down to 3-5 times a week or even once to twice weekly. I have found everyone to be different.

hyperplsia equals steroids

lichen sclerosis equals testosterone.

side effects.. I do see the dryness to the eyes at times..that bothers contact wearers at times. I counsel them on mild hirssuitism but have yet to see anyone get any darkened hair..any clitormegaly and the like.

hope this helps.

ps.. takes 4-6 weeks to see much effect so counsel the patient it takes time to see the change.

Mark

At 01:07 AM 5/2/96 -0500, you wrote: >
>One of my patients has lichen sclerosus et atrophicus
>( vulvar dystrophy, known previously
>as kraurosis vulvae).
>
>I have tried local estrogen creams; and steroids, but
>with little benefit !
>
>Any suggestions ?
>
>Thanks !
>
>Dr Malpani, MD
>
>Bombay, India.
>

--

mark decker md major surgery is done on me obgyn minor surgery I do one someone else. west bend wi I need to remember that. <perspective>.





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