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Re: Treatment for lichen sclerosus et atrophicusFrom: timothy fitzpatrick (tfitzob@massmed.org)Thu May 2 19:43:06 1996
>> >>One of my patients has lichen sclerosus et atrophicus >>( vulvar dystrophy, known previously >>as kraurosis vulvae). >> >Try 1% testosterone in a petrolatum base. Apply daily (usually at bedtime) >for two to three months. Then you may be able to decrease the frequency of >application. Caution the patient that it may take the 2-3 months before she >gets significant symptomatic relief. No significant side effects from the >testosterone except an occasional increase in libido. > >Lynn > >Lynn Montgomery, M.D. >Maternal-Fetal Medicine >Tulsa, Oklahoma I would be concerned with daily treatment with testosterone cream for 2 or 3 months. Remember the role for steroids is to decrease itch and the testosterone is to thicken the skin.From the pts (sorry clients) point of view the steroid will provide most of the sx improvement. we use temorvate as a topical cream but only in 14 day cycles of daily application with test proprionate in eucerin daily for 14 days and then 3 times a week for 4 weeks. This is essentially Dr Woodruf's approach
-- timothy Fitzpatrick Baystate Medical Centre Springfield Ma USA
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