The webiner is 1hr 20 minutes long so grab a coffee, I'm just in the process of watching it so can't comment as of yet, but I've heard it's very informative.
THEODORE XAVIER O'CONNELL, MD; LEENA SHANKAR NATHAN, MD; and WENDY ANN SATMARY, MD, Kaiser Permanente Medical Center, Woodland Hills, California
ANDREW T. GOLDSTEIN, MD, The Johns Hopkins School of Medicine, Baltimore, MarylandAm Fam Physician. 2008 Feb 1;77(3):321-326
Family physicians are in an ideal position to identify and treat non-neoplastic epithelial disorders of the vulva, which include lichen sclerosus, lichen planus, and lichen simplex chronicus. In addition to recognizing conditions specific to the vulva, family physicians are familiar with dermatologic conditions that affect all parts of the body, and should be able to recognize manifestations of these conditions on the vulva. Moreover, patients with vulvar symptoms often approach their family physician first; therefore, the prompt diagnosis of these conditions is key for successful treatment.
Easy enough to Google this. Excellent article, Kellie.
exciting kellie....have been following most of the webinars...got to catch up with this one....if you spell it out putting blanks instead of dots then everyone will be able to see and it won't go for moderation. This is another one for us!!
well found brill ............!! can't wait to listen in xxxxxxxxxxx
very interesting info. I was diagnosed at a free dermatology clinic, thankfully he was willing to look even though he had never seen LS in my age. I wonder about my estrogen level now because I started with severe itching and still get bouts of itching.
OMG! He actually names exactly what I had when I went in and finally got diagnosed. A 'smegmatic pseudocyst abscess'. onder the fused hood of the clitoris. I love this doctor!
Wow, I love this guy. So deeply knowledgeable and experienced. A complete change in my thinking even though he's not talking about any treatment other than the ultra potent corticosteroids we're all prescribed. He's pretty harsh about the 'poor science' in the Italian study (I think only 27 patients and no double-blind). I posted a new discussion just to cover his (new to me!) instructions on how to use the ointment (and says don't get the cream, get the ointment!)
yes, Im sure I have used it wrong all these years. I dont even recall how long I used it at first. Knew to rub it in but not for 90 seconds or to soak in water for 20, I just always apply after a shower.
I don't feel too awful. In this year of treatment it has improved and not progressed. I don't have huge thick scars like some of the pictures. I do have 'clitoral phemosis', but I've written that off. But I'm happy to start having soaks again in my very nice, deep tub.
Dr. G. is very firm about being consistent with treatment, to prevent cancer. He says 'most' (60%) of vulvar carcinoma arises from LS. BUT, of his 1200 patients he should (statstically) have dozens with cancer, he's only got one and she left for three years and stopped treatment.