WOMENS-HEALTH Messages for November, 1998: Re: 2ND REQUEST~Vulvar Itching

Re: 2ND REQUEST~Vulvar Itching

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Wed, 25 Nov 1998 20:54:50 -0600 (CST)

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Reply: Robin: "Re: 2ND REQUEST~Vulvar Itching"

At Wed, 25 Nov 1998, Robin wrote: >
>Dear Doctor,
>
>I had a labial biopsy done approximately two months ago for severe
>vulvar itching that despite numerous therapies, would not clear up. The
>biospy showed mild inflammation, for which I was treated with Spectazole
>Cream and Synalar Ointment, along with ice packs to ease the discomfort.
>After two weeks, if finally cleared up.
>
>The vulvar itching is back again, with a vengeance. I am trying the
>cream and the ointment again, but it only feels worse, not better. I am
>using the ice packs as well, and those seem to help the most, but I
>can't walk around with an ice pack on that area 24/7!
>
>When the biopsy was done, he only biopsied one area (believe me, as
>painful as it was, that was more than enough for me!!). Is it possible
>it was something else, but because he only biopsied the one area, it did
>not show? What else can be done at this point in terms of treatment?? I
>am on my fourth day of treatment again with the cream and ointment,
>along with the ice packs. I am using both the cream and ointment twice
>daily as I was instructed to do the first time around.
>
>Any help you can give is so greatly appreciated. Have a great
>Thanksgiving!!
>
>--
>Robin
>

Guess I'm doing the "can't make a diagnosis or recommend a treatment without an examination" job today. Vulvar complaints are frequently very difficult to treat even with an exam. A vulvar specialist may be of help. Also, look at these links for more info.

http://www.med.umich.edu/obgyn/vulva/vulvedu.html

http://prairie.lakes.com/~roseleaf/fibro/sex-faq.html

--
Harvey S. Marchbein, M.D. FACOG, FACS
Great Neck, New York
http://www.obgyn.net/states/bios/marchbein.htm
http://www.obgyn.net/women/advisors/harveym.htm

**Note:  Opinions expressed here are for educational purposes only
and, as such, do not constitute a physician-patient relationship.
This information is not intended to supplant the need for you to
consult with your physician prior to choosing therapeutic options
and/or interventions.

**Private emails cannot be entertained due to time constraints,
consequently no private emails will receive a response.

**Thank you for your understanding ;-)

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